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
ALYMSYS 25 MG/ML INTRAVENOUS SOLUTION
Eureka, IL
See all hospitals reporting HCPCS Q5126 →Price type
Carle Eureka Hospital’s median price of $2.1k is 2780% above the median hospital's median price ($72), higher than 94% of the 1,344 hospitals reporting HCPCS Q5126. 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 | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $59 | $59 | — | — | — | $59 – $59 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $1.0k | 62% | — | $638 – $2.7k |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $1.0k | 62% | — | $638 – $2.7k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $1.0k | 62% | — | $638 – $2.7k |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | $2.3k | 62% | — | $1.4k – $6.1k |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | $2.3k | 62% | — | $1.4k – $6.1k |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | $2.3k | 62% | — | $1.4k – $6.1k |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | $2.3k | 62% | — | $1.4k – $6.1k |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | $2.5k | 62% | — | $1.5k – $6.5k |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | $3.2k | 62% | — | $2.0k – $8.4k |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | $3.2k | 62% | — | $2.0k – $8.4k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | $3.2k | 62% | — | $2.0k – $8.4k |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $5.6k | $5.6k | $3.4k | 62% | — | $2.1k – $9.0k |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | $3.4k | 62% | — | $2.1k – $9.0k |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | $3.5k | 62% | — | $2.1k – $9.1k |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | $3.9k | 62% | — | $2.4k – $10.2k |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | $4.4k | 62% | — | $2.7k – $11.4k |
Last updated: Apr 15, 2026
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