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
ADRENALIN IN 0.9 % SODIUM CHLORIDE 5 MG/250 ML (20 MCG/ML) IV SOLUTION
Peoria, IL
See all hospitals reporting HCPCS J0163 →Price type
Proctor Community Hospital’s median price of $156 is 7806% above the median hospital's median price ($2), higher than 82% of the 639 hospitals reporting HCPCS J0163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 managed medicaid percent of total billed charges · inpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 3 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 5 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 6 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 7 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 8 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 10 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 13 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $190 | $190 | — | — | — | $190 – $190 |
| 14 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 15 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 16 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
Last updated: Apr 15, 2026
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