Layered wound repair, face or mucous membrane, 5.1-7.5 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 Face,Facial 5.1-7.5 Cm

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $756 is 45% above the median hospital's median price ($520), higher than 68% of the 2,286 hospitals reporting CPT 12053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12053 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	$181	$181	—	—	—	$181 – $181
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$186	$186	—	—	—	$186 – $186
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$336	$336	$21	6%	—	$315 – $357
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$336	$336	$21	6%	2–20	$315 – $357
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$336	$336	$21	6%	—	$315 – $357
9	Aetna commercial fee schedule · outpatient	$407	$407	—	—	—	$407 – $407
10	WellCare medicare advantage hmo case rate · outpatient	$436	$436	—	—	—	$436 – $436
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$756	$756	$48	6%	—	$708 – $804
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$756	$756	$48	6%	—	$708 – $804
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$756	$756	$48	6%	—	$708 – $804
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$756	$756	$48	6%	—	$708 – $804
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$806	$806	$51	6%	—	$756 – $857
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$65	6%	—	$966 – $1.1k
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$65	6%	—	$971 – $1.1k
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	$70	6%	—	$1.0k – $1.2k
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$70	6%	—	$1.0k – $1.2k
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$71	6%	—	$1.1k – $1.2k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$80	6%	—	$1.2k – $1.3k
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	$89	6%	—	$1.3k – $1.5k

Last updated: Apr 15, 2026

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