Injection of labetalol hydrochloride, 5 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LABETALOL 5 MG/ML INTRAVENOUS SOLUTION

Peoria, IL

See all payers reporting HCPCS J1921 →

Payers reporting HCPCS J1921 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 6 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.

Filter by billing methodology

Filter by billing class

#
1	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$2	$2	—	—	—	$2 – $2
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
4	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
7	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
8	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
9	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
10	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
12	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	1–10	$26 – $26
13	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
14	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
15	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36