Remote retinal OCT scan with patient-initiated image upload at Carle Eureka 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

Remote Oct Retina 1st Dev Set-Up & Pt Educaj

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $40 is 79% below the median hospital's median price ($185), higher than 19% of the 776 hospitals reporting CPT 0604T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0604T at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 8 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$17	$17	—	—	—	$17 – $17
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
3	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
5	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$17	$17	—	—	—	$17 – $17
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
8	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
9	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
10	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
11	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
12	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
15	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
16	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
17	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
19	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
20	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70

Last updated: Apr 15, 2026

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