Endoscopic partial ethmoid 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 W/Partial Ethmoidectomy

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 $948 is 86% below the median hospital's median price ($6.7k), higher than 17% of the 1,867 hospitals reporting CPT 31254. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 31254 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	$219	$219	—	—	—	$219 – $219
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$226	$226	—	—	—	$226 – $226
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
9	Aetna commercial fee schedule · outpatient	$465	$465	—	—	—	$465 – $465
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
22	WellCare medicare advantage hmo case rate · outpatient	$7.6k	$7.6k	—	—	—	$7.6k – $7.6k

Last updated: Apr 15, 2026

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