Phenylephrine and ketorolac eye irrigation solution at Central Georgia Rehabilitation LLC

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG

Macon, GA

See all hospitals reporting HCPCS J1097 →

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $1.8k is 1189% above the median hospital's median price ($140), higher than 98% of the 1,214 hospitals reporting HCPCS J1097. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1097 at Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 11 payers, 31 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 medicare advantage fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
2	Anthem medicare advantage fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
3	Humana medicare advantage fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
4	UnitedHealthcare medicare advantage fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
5	Caresource medicare advantage fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
6	Clover medicare advantage fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
7	Cigna commercial fee schedule · both	$119	$119	—	—	—	$119 – $119
8	Aetna hmo fee schedule · both	$149	$149	—	—	—	$149 – $149
9	Aetna pos fee schedule · both	$149	$149	—	—	—	$149 – $149
10	Aetna ppo fee schedule · both	$149	$149	—	—	—	$149 – $149
11	Anthem hmo/ppo fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
12	Humana hmo/pos fee schedule · both	$174	$174	—	—	—	$174 – $174
13	Humana ppo fee schedule · both	$174	$174	—	—	—	$174 – $174
14	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
15	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
16	Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
17	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
18	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
19	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
20	Aetna pos percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
21	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
22	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
23	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
24	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
25	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k

Page 1 of 2 · 31 rates

Last updated: Nov 19, 2025

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