Mannitol inhaled, per 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

ARIDOL BRONCHIAL CHALLENGE 0 MG-5 MG-10 MG-20 MG-40 MG INHALATN POWDER

Peoria, IL

See all hospitals reporting HCPCS J7665 →

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How this price compares nationally

Proctor Community Hospital’s median price of $234 is 3387% above the median hospital's median price ($7), higher than 99% of the 879 hospitals reporting HCPCS J7665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7665 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	$7	$7	—	—	—	$7 – $7
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	UnitedHealthcare va ccn fee schedule · inpatient	$22	$22	—	—	—	$22 – $22
4	UnitedHealthcare va ccn fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
5	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
6	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
9	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
10	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
11	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
12	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
13	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
14	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$289	$289	—	—	—	$289 – $289
17	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
18	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
19	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
21	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$402	$402	—	—	—	$402 – $402

Last updated: Apr 15, 2026

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