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
Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr Ea
Eureka, IL
See all hospitals reporting CPT 0628T →Price type
Carle Eureka Hospital’s median price of $212 is 89% below the median hospital's median price ($1.9k), higher than 17% of the 930 hospitals reporting CPT 0628T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 8 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 9 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 10 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 11 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 12 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $271 | $271 | — | — | — | $271 – $271 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $272 | $272 | — | — | — | $272 – $272 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $295 | $295 | — | — | — | $295 – $295 |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $331 | $331 | — | — | — | $331 – $331 |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $370 | $370 | — | — | — | $370 – $370 |
Last updated: Apr 15, 2026
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