Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ANKTIVA 400 MCG/0.4 ML INTRAVESICAL SOLUTION
Eureka, IL
See all hospitals reporting HCPCS J9028 →Price type
Carle Eureka Hospital’s median price of $39.2k is 36522% above the median hospital's median price ($107), higher than 97% of the 1,114 hospitals reporting HCPCS J9028. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | WellCare medicare advantage hmo case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 2 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 3 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 5 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $36.7k | $36.7k | — | — | — | $36.7k – $36.7k |
| 6 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $36.7k | $36.7k | — | — | — | $36.7k – $36.7k |
| 7 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $36.7k | $36.7k | — | — | — | $36.7k – $36.7k |
| 8 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $36.7k | $36.7k | — | — | — | $36.7k – $36.7k |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $39.2k | $39.2k | — | — | — | $39.2k – $39.2k |
| 10 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $50.4k | $50.4k | — | — | — | $50.4k – $50.4k |
| 11 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $50.6k | $50.6k | — | — | — | $50.6k – $50.6k |
| 12 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $54.0k | $54.0k | — | — | — | $54.0k – $54.0k |
| 13 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $54.0k | $54.0k | — | — | — | $54.0k – $54.0k |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $54.7k | $54.7k | — | — | — | $54.7k – $54.7k |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $61.2k | $61.2k | — | — | — | $61.2k – $61.2k |
| 16 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $68.6k | $68.6k | — | — | — | $68.6k – $68.6k |
Last updated: Apr 15, 2026
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