Endoscopic sinus surgery to open the maxillary sinus 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 Endoscopy W/Maxillary Antrostomy

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 $427 is 89% below the median hospital's median price ($3.8k), higher than 16% of the 1,897 hospitals reporting CPT 31256. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 31256 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	$162	$162	—	—	—	$162 – $162
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$167	$167	—	—	—	$167 – $167
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
9	Aetna commercial fee schedule · outpatient	$347	$347	—	—	—	$347 – $347
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$427	$427	—	—	—	$427 – $427
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$427	$427	—	—	—	$427 – $427
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$427	$427	—	—	—	$427 – $427
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$427	$427	—	—	—	$427 – $427
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$455	$455	—	—	—	$455 – $455
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$582	$582	—	—	—	$582 – $582
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$585	$585	—	—	—	$585 – $585
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$627	$627	—	—	—	$627 – $627
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$627	$627	—	—	—	$627 – $627
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$711	$711	—	—	—	$711 – $711
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$796	$796	—	—	—	$796 – $796
22	WellCare medicare advantage hmo case rate · outpatient	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k

Last updated: Apr 15, 2026

Compare to other hospitals

See Endoscopic sinus surgery to open the maxillary sinus pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.