Breast lesion incision 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

Mastotomy W/Exploration/Drainage Abscess Deep

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 $1.5k is 26% below the median hospital's median price ($2.0k), higher than 24% of the 2,084 hospitals reporting CPT 19020. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 19020 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	$267	$267	—	—	—	$267 – $267
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$267	$267	—	—	—	$267 – $267
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$275	$275	—	—	—	$275 – $275
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
6	Aetna commercial fee schedule · outpatient	$605	$605	—	—	—	$605 – $605
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$702	$702	$226	32%	—	$476 – $928
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$702	$702	$226	32%	—	$476 – $928
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$702	$702	$226	32%	—	$476 – $928
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$508	32%	—	$1.1k – $2.1k
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$508	32%	—	$1.1k – $2.1k
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$508	32%	—	$1.1k – $2.1k
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$508	32%	—	$1.1k – $2.1k
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	$542	32%	—	$1.1k – $2.2k
15	WellCare medicare advantage hmo case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	$693	32%	—	$1.5k – $2.8k
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	$696	32%	—	$1.5k – $2.9k
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	$746	32%	—	$1.6k – $3.1k
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	$746	32%	—	$1.6k – $3.1k
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.4k	$756	32%	—	$1.6k – $3.1k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	$846	32%	—	$1.8k – $3.5k
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	$948	32%	—	$2.0k – $3.9k

Last updated: Apr 15, 2026

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