Repair of split wound 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

Tx Superficial Wound Dehiscence W/Packing

Eureka, IL

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Pricing by billing methodology

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How this price compares nationally

Carle Eureka Hospital’s median price of $565 is 12% above the median hospital's median price ($503), higher than 57% of the 1,979 hospitals reporting CPT 12021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12021 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	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
2	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$119	$119	—	—	—	$119 – $119
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$122	$122	—	—	—	$122 – $122
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$265	$237	$38	16%	—	$183 – $265
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$265	$237	$38	16%	—	$183 – $265
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$265	$237	$38	16%	—	$183 – $265
9	Aetna commercial fee schedule · outpatient	$267	$267	—	—	—	$267 – $267
10	WellCare medicare advantage hmo case rate · outpatient	$436	$436	—	—	—	$436 – $436
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$595	$534	$86	16%	—	$412 – $595
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$595	$534	$86	16%	—	$412 – $595
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$595	$534	$86	16%	—	$412 – $595
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$595	$534	$86	16%	—	$412 – $595
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$635	$570	$92	16%	—	$440 – $635
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$812	$729	$118	16%	—	$562 – $812
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$816	$733	$118	16%	—	$565 – $816
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$875	$785	$127	16%	—	$605 – $875
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$875	$785	$127	16%	—	$605 – $875
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$886	$796	$129	16%	—	$614 – $886
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$992	$891	$144	16%	—	$687 – $992
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$997	$161	16%	—	$769 – $1.1k

Last updated: Apr 15, 2026

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