Repair of a superficial wound, 7.6 to 12.5 cm 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

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $381 is 33% above the median hospital's median price ($287), higher than 64% of the 2,435 hospitals reporting CPT 12004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12004 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 22 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	$64	$64	—	—	—	$64 – $64
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$65	$65	—	—	—	$65 – $65
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
5	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
6	Aetna commercial fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$169	$158	$16	10%	—	$135 – $169
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$169	$158	$16	10%	3–30	$135 – $169
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$169	$158	$16	10%	—	$135 – $169
10	WellCare medicare advantage hmo case rate · outpatient	$215	$215	—	—	—	$215 – $215
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$381	$355	$37	10%	3–30	$303 – $381
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$381	$355	$37	10%	—	$303 – $381
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$381	$355	$37	10%	—	$303 – $381
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$381	$355	$37	10%	—	$303 – $381
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$406	$378	$39	10%	—	$323 – $406
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$519	$484	$50	10%	—	$413 – $519
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$522	$486	$50	10%	3–30	$415 – $522
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$559	$521	$54	10%	—	$445 – $559
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$559	$521	$54	10%	—	$445 – $559
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$567	$528	$55	10%	—	$451 – $567
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$635	$591	$61	10%	—	$505 – $635
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$711	$662	$69	10%	—	$565 – $711

Last updated: Apr 15, 2026

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