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
Clsd Rx I-P Jt Toes Disloc Anes
Eureka, IL
See all hospitals reporting CPT 28665 →Price type
Carle Eureka Hospital’s median price of $381 is 5% below the median hospital's median price ($401), higher than 48% of the 1,656 hospitals reporting CPT 28665. 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 | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $184 | $184 | $26 | 14% | — | $159 – $210 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $184 | $184 | $26 | 14% | — | $159 – $210 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $184 | $184 | $26 | 14% | — | $159 – $210 |
| 9 | Aetna commercial fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $415 | $415 | $57 | 14% | — | $357 – $472 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $415 | $415 | $57 | 14% | — | $357 – $472 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $415 | $415 | $57 | 14% | — | $357 – $472 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $415 | $415 | $57 | 14% | — | $357 – $472 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $442 | $442 | $61 | 14% | — | $381 – $504 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $566 | $566 | $78 | 14% | — | $488 – $644 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $569 | $569 | $79 | 14% | — | $490 – $647 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $609 | $609 | $84 | 14% | — | $525 – $693 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $609 | $609 | $84 | 14% | — | $525 – $693 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $617 | $617 | $85 | 14% | — | $532 – $703 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $691 | $691 | $96 | 14% | — | $596 – $787 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $774 | $774 | $107 | 14% | — | $667 – $881 |
Last updated: Apr 15, 2026
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