Extra breast lesion biopsy with marker placement 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

Brst Bx W/Plc Lcl Dvc MR Guide, Ea Add Lsn

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 $993 is 38% below the median hospital's median price ($1.6k), higher than 37% of the 1,691 hospitals reporting CPT 19086. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 19086 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$76	$76	—	—	—	$76 – $76
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$78	$78	—	—	—	$78 – $78
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
5	Aetna commercial fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
9	WellCare medicare advantage hmo case rate · outpatient	$514	$514	—	—	—	$514 – $514
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$993	$993	—	—	—	$993 – $993
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$993	$993	—	—	—	$993 – $993
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$993	$993	—	—	—	$993 – $993
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$993	$993	—	—	—	$993 – $993
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Last updated: Apr 15, 2026

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