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
RHOPHYLAC 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE
Peoria, IL
See all hospitals reporting HCPCS J2791 →Price type
Proctor Community Hospital’s median price of $303 is 796% above the median hospital's median price ($34), higher than 84% of the 1,854 hospitals reporting HCPCS J2791. 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, 20 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 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Blue Cross Blue Shield managed medicaid other · outpatient | $84 | $84 | — | — | 2–20 | $84 – $84 |
| 4 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $198 | $198 | $9 | 5% | — | $188 – $207 |
| 5 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $198 | $198 | $9 | 5% | — | $188 – $207 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $237 | $237 | $11 | 5% | — | $226 – $248 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $237 | $237 | $11 | 5% | 2–20 | $226 – $248 |
| 8 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $237 | $237 | $11 | 5% | — | $226 – $248 |
| 9 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges | $237 | $237 | $11 | 5% | — | $226 – $248 |
| 10 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $15 | 5% | — | $294 – $323 |
| 11 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $15 | 5% | — | $294 – $323 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $312 | $312 | $15 | 5% | — | $297 – $327 |
| 13 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $318 | $318 | $15 | 5% | — | $303 – $333 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $318 | $318 | $15 | 5% | — | $303 – $333 |
| 15 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $381 | $381 | $18 | 5% | — | $363 – $399 |
| 16 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $387 | $387 | $18 | 5% | — | $369 – $406 |
| 17 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $395 | $395 | $19 | 5% | — | $376 – $414 |
| 18 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $395 | $395 | $19 | 5% | — | $376 – $414 |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $395 | $395 | $19 | 5% | — | $376 – $414 |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $530 | $530 | $25 | 5% | — | $504 – $555 |
Last updated: Apr 15, 2026
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