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
Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<
Eureka, IL
See all hospitals reporting CPT 12041 →Price type
Carle Eureka Hospital’s median price of $571 is 17% above the median hospital's median price ($486), higher than 61% of the 2,473 hospitals reporting CPT 12041. 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, 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 | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $250 | $250 | $4 | 2% | — | $246 – $254 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $250 | $250 | $4 | 2% | — | $246 – $254 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $250 | $250 | $4 | 2% | — | $246 – $254 |
| 9 | Aetna commercial fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $562 | $562 | $9 | 2% | 2–20 | $553 – $571 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $562 | $562 | $9 | 2% | — | $553 – $571 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $562 | $562 | $9 | 2% | — | $553 – $571 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $562 | $562 | $9 | 2% | — | $553 – $571 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $599 | $599 | $9 | 2% | — | $590 – $609 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $767 | $767 | $12 | 2% | — | $755 – $779 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $770 | $770 | $12 | 2% | 2–20 | $758 – $782 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $825 | $825 | $13 | 2% | — | $812 – $838 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $825 | $825 | $13 | 2% | — | $812 – $838 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $837 | $837 | $13 | 2% | — | $823 – $850 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $936 | $936 | $15 | 2% | — | $922 – $951 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $16 | 2% | 2–20 | $1.0k – $1.1k |
Last updated: Apr 15, 2026
See Intermediate wound repair, hands/feet/neck/genitals, up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.