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
PERPHENAZINE 8 MG TABLET
Eureka, IL
See all hospitals reporting HCPCS Q0175 →Price type
Carle Eureka Hospital’s median price of $4 is 270% above the median hospital's median price ($1), higher than 83% of the 1,226 hospitals reporting HCPCS Q0175. 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, 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 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $3 | $2 | $1 | 34% | — | $1 – $4 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $2 | $1 | 34% | — | $1 – $4 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $3 | $2 | $1 | 34% | — | $1 – $4 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $6 | $5 | $2 | 34% | — | $3 – $9 |
| 11 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $6 | $5 | $2 | 34% | — | $3 – $9 |
| 12 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $6 | $5 | $2 | 34% | — | $3 – $9 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $2 | 34% | — | $3 – $10 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $3 | 34% | — | $4 – $13 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $3 | 34% | — | $4 – $13 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $8 | $8 | $3 | 34% | — | $4 – $14 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $3 | 34% | — | $4 – $14 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $3 | 34% | — | $4 – $14 |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $3 | 34% | — | $5 – $16 |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $11 | $10 | $4 | 34% | — | $5 – $18 |
Last updated: Apr 15, 2026
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