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
CYSTOGRAFIN 30 % URETHRAL SOLUTION
Eureka, IL
See all hospitals reporting HCPCS Q9958 →Price type
Carle Eureka Hospital’s median price of $110 is 23754% above the median hospital's median price ($0), higher than 85% of the 1,715 hospitals reporting HCPCS Q9958. 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, 19 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 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $46 | $54 | $15 | 28% | — | $44 – $80 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $46 | $54 | $15 | 28% | — | $44 – $80 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $46 | $54 | $15 | 28% | — | $44 – $80 |
| 8 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $103 | $121 | $33 | 28% | — | $100 – $179 |
| 9 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $103 | $121 | $33 | 28% | — | $100 – $179 |
| 10 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $103 | $121 | $33 | 28% | — | $100 – $179 |
| 11 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $103 | $121 | $33 | 28% | — | $100 – $179 |
| 12 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $110 | $129 | $36 | 28% | — | $107 – $191 |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $141 | $166 | $46 | 28% | — | $137 – $245 |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $142 | $167 | $46 | 28% | — | $138 – $247 |
| 15 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $151 | $178 | $49 | 28% | — | $147 – $263 |
| 16 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $151 | $178 | $49 | 28% | — | $147 – $263 |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $153 | $180 | $50 | 28% | — | $149 – $267 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $171 | $202 | $56 | 28% | — | $167 – $298 |
| 19 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $192 | $226 | $62 | 28% | — | $186 – $334 |
Last updated: Apr 15, 2026
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