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
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION
Eureka, IL
See all hospitals reporting HCPCS Q2009 →Price type
Carle Eureka Hospital’s median price of $15 is about the same as the median hospital's median price ($15), higher than 50% of the 2,093 hospitals reporting HCPCS Q2009. 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, 21 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 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $21 | $48 | $62 | 129% | — | $3 – $180 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $21 | $48 | $62 | 129% | — | $3 – $180 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $21 | $48 | $62 | 129% | — | $3 – $180 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $48 | $109 | $140 | 129% | — | $7 – $406 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $48 | $109 | $140 | 129% | — | $7 – $406 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $48 | $109 | $140 | 129% | — | $7 – $406 |
| 14 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $52 | $116 | $149 | 129% | — | $7 – $433 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $66 | $149 | $192 | 129% | — | $9 – $557 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $67 | $150 | $193 | 129% | — | $9 – $559 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $71 | $160 | $205 | 129% | — | $10 – $596 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $71 | $160 | $205 | 129% | — | $10 – $596 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $72 | $162 | $208 | 129% | — | $10 – $605 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $80 | $181 | $233 | 129% | — | $11 – $677 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $90 | $203 | $261 | 129% | — | $13 – $758 |
Last updated: Apr 15, 2026
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