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.
Original text from hospital filings
Manual Prep&Insj I-Artic Drug Delivery Device
Eureka, IL
See all hospitals reporting CPT 20704 →Price type
Carle Eureka Hospital’s median price of $418 is 34% below the median hospital's median price ($638), higher than 45% of the 1,227 hospitals reporting CPT 20704. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $138 | $138 | — | — | — | $138 – $138 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $142 | $142 | — | — | — | $142 – $142 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 10 | Aetna commercial fee schedule · outpatient | $291 | $291 | — | — | — | $291 – $291 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $446 | $446 | — | — | — | $446 – $446 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $570 | $570 | — | — | — | $570 – $570 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $614 | $614 | — | — | — | $614 – $614 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $614 | $614 | — | — | — | $614 – $614 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $697 | $697 | — | — | — | $697 – $697 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $780 | $780 | — | — | — | $780 – $780 |
Last updated: Apr 15, 2026
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