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
RENACIDIN 1980.6 MG-59.4MG-980.4MG/30ML IRRIGATION SOLUTION
Peoria, IL
See all hospitals reporting HCPCS Q2004 →Price type
Proctor Community Hospital’s median price of $19 is 82% below the median hospital's median price ($105), higher than 13% of the 978 hospitals reporting HCPCS Q2004. 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, 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 managed medicaid percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 10 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 12 | UnitedHealthcare va ccn fee schedule · inpatient | $19 | $19 | — | — | — | $19 – $19 |
| 13 | UnitedHealthcare va ccn fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 15 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 16 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 17 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 20 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $98 | $98 | — | — | — | $98 – $98 |
| 21 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
Last updated: Apr 15, 2026
See Renacidin irrigation solution for bladder stones, per 500 ml pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.