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
PYZCHIVA 130 MG/26 ML INTRAVENOUS SOLUTION
Peoria, IL
See all hospitals reporting HCPCS Q9997 →Price type
Proctor Community Hospital’s median price of $43 is 318% above the median hospital's median price ($10), higher than 84% of the 798 hospitals reporting HCPCS Q9997. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Humana medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | UnitedHealthcare medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 7 | UnitedHealthcare va ccn case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $888 | $888 | $861 | 97% | — | $27 – $1.7k |
| 10 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $888 | $888 | $861 | 97% | — | $27 – $1.7k |
| 11 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $1.0k | 97% | — | $32 – $2.1k |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $1.0k | 97% | — | $32 – $2.1k |
| 13 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $1.0k | 97% | — | $32 – $2.1k |
| 14 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.3k | 97% | — | $42 – $2.7k |
| 15 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.3k | 97% | — | $42 – $2.7k |
| 16 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 97% | — | $42 – $2.8k |
| 17 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 97% | — | $43 – $2.8k |
| 18 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 97% | — | $43 – $2.8k |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $1.7k | 97% | — | $52 – $3.4k |
| 20 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $1.7k | 97% | — | $53 – $3.4k |
| 21 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | $1.7k | 97% | — | $54 – $3.5k |
| 22 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.7k | 97% | — | $54 – $3.5k |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $2.3k | 97% | — | $72 – $4.7k |
Last updated: Apr 15, 2026
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