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
CIMERLI 0.5 MG/0.05 ML INTRAVITREAL SOLUTION
Eureka, IL
See all hospitals reporting HCPCS Q5128 →Price type
Carle Eureka Hospital’s median price of $130 is 22% below the median hospital's median price ($167), higher than 35% of the 1,162 hospitals reporting HCPCS Q5128. 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $46 | $46 | $12 | 25% | — | $35 – $58 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $12 | 25% | — | $35 – $58 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $46 | $46 | $12 | 25% | — | $35 – $58 |
| 4 | WellCare medicare advantage hmo case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 5 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $26 | 25% | — | $78 – $130 |
| 6 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $26 | 25% | — | $78 – $130 |
| 7 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $26 | 25% | — | $78 – $130 |
| 8 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $26 | 25% | — | $78 – $130 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $111 | $111 | $28 | 25% | — | $83 – $138 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $141 | $141 | $35 | 25% | — | $106 – $177 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $36 | 25% | — | $107 – $178 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $143 | $143 | $36 | 25% | — | $107 – $179 |
| 13 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $152 | $152 | $38 | 25% | — | $114 – $190 |
| 14 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $152 | $152 | $38 | 25% | — | $114 – $190 |
| 15 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $154 | $154 | $39 | 25% | — | $116 – $193 |
| 16 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $173 | $173 | $43 | 25% | — | $130 – $216 |
| 17 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $194 | $194 | $48 | 25% | — | $145 – $242 |
| 18 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $256 | $256 | — | — | — | $256 – $256 |
| 19 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 20 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $264 | $264 | — | — | — | $264 – $264 |
| 21 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
Last updated: Apr 15, 2026
See Ranibizumab-eqrn injection (Cimerli biosimilar), per 0.1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.