Intermediate repair of face wound, 7.6-12.5 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

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $660 is 19% above the median hospital's median price ($554), higher than 60% of the 2,222 hospitals reporting CPT 12054. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12054 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	$186	$186	—	—	—	$186 – $186
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$192	$192	—	—	—	$192 – $192
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$286	$286	$7	2%	—	$279 – $293
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$286	$286	$7	2%	—	$279 – $293
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$286	$286	$7	2%	—	$279 – $293
9	Aetna commercial fee schedule · outpatient	$420	$420	—	—	—	$420 – $420
10	WellCare medicare advantage hmo case rate · outpatient	$436	$436	—	—	—	$436 – $436
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$644	$644	$16	2%	—	$629 – $660
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$644	$644	$16	2%	—	$629 – $660
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$644	$644	$16	2%	—	$629 – $660
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$644	$644	$16	2%	—	$629 – $660
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$687	$687	$17	2%	—	$671 – $704
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$879	$879	$21	2%	—	$858 – $901
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$884	$884	$22	2%	—	$862 – $905
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$947	$947	$23	2%	—	$923 – $970
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$947	$947	$23	2%	—	$923 – $970
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$959	$959	$23	2%	—	$936 – $983
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$26	2%	—	$1.0k – $1.1k
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$29	2%	—	$1.2k – $1.2k

Last updated: Apr 15, 2026

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