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
Brnchsc Brushing/Protected Brushings
Eureka, IL
See all hospitals reporting CPT 31623 →Price type
Carle Eureka Hospital’s median price of $605 is 69% below the median hospital's median price ($2.0k), higher than 15% of the 2,056 hospitals reporting CPT 31623. 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 | $116 | $116 | — | — | — | $116 – $116 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $120 | $120 | — | — | — | $120 – $120 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 6 | Aetna commercial fee schedule · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $269 | $269 | — | — | — | $269 – $269 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $269 | $269 | — | — | — | $269 – $269 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $269 | $269 | — | — | — | $269 – $269 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $605 | $605 | — | — | — | $605 – $605 |
| 11 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $605 | $605 | — | — | — | $605 – $605 |
| 12 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $605 | $605 | — | — | — | $605 – $605 |
| 13 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $605 | $605 | — | — | — | $605 – $605 |
| 14 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $646 | $646 | — | — | — | $646 – $646 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 16 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $889 | $889 | — | — | — | $889 – $889 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $889 | $889 | — | — | — | $889 – $889 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $901 | $901 | — | — | — | $901 – $901 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 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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