Endoscopic nasal sinus surgery 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

Nasal/Sinus Ndsc Surg W/Control Nasal Hemorrhage

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 $779 is 61% below the median hospital's median price ($2.0k), higher than 17% of the 1,949 hospitals reporting CPT 31238. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 31238 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	$150	$150	—	—	—	$150 – $150
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$154	$154	—	—	—	$154 – $154
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
6	Aetna commercial fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$435	$435	$181	42%	—	$254 – $615
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$435	$435	$181	42%	—	$254 – $615
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$435	$435	$181	42%	—	$254 – $615
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$978	$978	$407	42%	—	$571 – $1.4k
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$978	$978	$407	42%	—	$571 – $1.4k
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$978	$978	$407	42%	—	$571 – $1.4k
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$978	$978	$407	42%	—	$571 – $1.4k
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$434	42%	—	$609 – $1.5k
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$555	42%	—	$779 – $1.9k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$558	42%	—	$782 – $1.9k
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	$598	42%	—	$838 – $2.0k
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	$598	42%	—	$838 – $2.0k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$606	42%	—	$850 – $2.1k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$678	42%	—	$951 – $2.3k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	$760	42%	—	$1.1k – $2.6k
22	WellCare medicare advantage hmo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Last updated: Apr 15, 2026

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