Superficial soft tissue biopsy of back or flank 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

Biopsy Soft Tissue Back/Flank; Superficial

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 $870 is 49% below the median hospital's median price ($1.7k), higher than 23% of the 1,756 hospitals reporting CPT 21920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21920 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	$142	$142	—	—	—	$142 – $142
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$147	$147	—	—	—	$147 – $147
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
5	Aetna commercial fee schedule · outpatient	$296	$296	—	—	—	$296 – $296
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$362	$362	—	—	—	$362 – $362
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$362	$362	—	—	—	$362 – $362
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$362	$362	—	—	—	$362 – $362
9	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$815	$815	—	—	—	$815 – $815
10	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$815	$815	—	—	—	$815 – $815
11	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$815	$815	—	—	—	$815 – $815
12	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$815	$815	—	—	—	$815 – $815
13	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$870	$870	—	—	—	$870 – $870
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	WellCare medicare advantage hmo case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Last updated: Apr 15, 2026

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