Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Layr Clos Wnd Rest Body 2.6-7.5 Cm

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $675 is 33% above the median hospital's median price ($508), higher than 66% of the 2,432 hospitals reporting CPT 12042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12042 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	$163	$163	—	—	—	$163 – $163
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$168	$168	—	—	—	$168 – $168
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$299	$299	$1	0%	—	$298 – $300
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$299	$299	$1	0%	—	$298 – $300
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$299	$299	$1	0%	—	$298 – $300
9	Aetna commercial fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
10	WellCare medicare advantage hmo case rate · outpatient	$436	$436	—	—	—	$436 – $436
11	Blue Cross Blue Shield managed medicaid other · outpatient	$606	$606	—	—	2–20	$606 – $606
12	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$673	$673	$2	0%	—	$671 – $675
13	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$673	$673	$2	0%	2–20	$671 – $675
14	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$673	$673	$2	0%	—	$671 – $675
15	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$673	$673	$2	0%	—	$671 – $675
16	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$718	$718	$2	0%	—	$716 – $720
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$918	$918	$2	0%	—	$915 – $920
18	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$922	$922	$2	0%	2–20	$920 – $925
19	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$988	$988	$3	0%	—	$986 – $991
20	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$988	$988	$3	0%	—	$986 – $991
21	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$3	0%	—	$999 – $1.0k
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$3	0%	—	$1.1k – $1.1k
23	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$3	0%	2–20	$1.3k – $1.3k

Last updated: Apr 15, 2026

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