Glatiramer acetate injection, 20 mg at Proctor Community Hospital

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

GLATOPA 20 MG/ML SUBCUTANEOUS SYRINGE

Peoria, IL

See all hospitals reporting HCPCS J1595 →

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How this price compares nationally

Proctor Community Hospital’s median price of $418 is 105% above the median hospital's median price ($204), higher than 75% of the 1,390 hospitals reporting HCPCS J1595. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1595 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 7 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	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$57	$57	—	—	—	$57 – $57
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
3	UnitedHealthcare va ccn fee schedule · inpatient	$129	$129	—	—	—	$129 – $129
4	UnitedHealthcare va ccn fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
5	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$267	$349	$177	51%	—	$211 – $653
6	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$267	$349	$177	51%	—	$211 – $653
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$320	$419	$212	51%	—	$253 – $784
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$320	$419	$212	51%	—	$253 – $784
9	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$320	$419	$212	51%	—	$253 – $784
10	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$320	$419	$212	51%	—	$253 – $784
11	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$416	$545	$276	51%	—	$329 – $1.0k
12	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$416	$545	$276	51%	—	$329 – $1.0k
13	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$421	$552	$280	51%	—	$333 – $1.0k
14	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$428	$562	$285	51%	—	$339 – $1.1k
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$428	$562	$285	51%	—	$339 – $1.1k
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$514	$673	$341	51%	—	$407 – $1.3k
17	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$522	$685	$347	51%	—	$414 – $1.3k
18	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$533	$699	$354	51%	—	$422 – $1.3k
19	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$533	$699	$354	51%	—	$422 – $1.3k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$533	$699	$354	51%	—	$422 – $1.3k
21	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$714	$936	$475	51%	—	$565 – $1.8k

Last updated: Apr 15, 2026

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