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
POTELIGEO 4 MG/ML INTRAVENOUS SOLUTION
Eureka, IL
See all hospitals reporting HCPCS J9204 →Price type
Carle Eureka Hospital’s median price of $10.1k is 2869% above the median hospital's median price ($339), higher than 94% of the 1,426 hospitals reporting HCPCS J9204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $234 | $234 | — | — | — | $234 – $234 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $241 | $241 | — | — | — | $241 – $241 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $18.8k | $18.8k | — | — | — | $18.8k – $18.8k |
Last updated: Apr 15, 2026
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