Open biopsy of groin lymph nodes 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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Open Biopsy/Excision Inguinofemoral Nodes

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 $1.3k is 68% below the median hospital's median price ($4.0k), higher than 17% of the 1,971 hospitals reporting CPT 38531. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 38531 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	$408	$408	—	—	—	$408 – $408
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$408	$408	—	—	—	$408 – $408
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$421	$421	—	—	—	$421 – $421
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$421	$421	—	—	—	$421 – $421
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$686	$686	$271	40%	—	$415 – $956
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$686	$686	$271	40%	—	$415 – $956
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$686	$686	$271	40%	—	$415 – $956
9	Aetna commercial fee schedule · outpatient	$877	$877	—	—	—	$877 – $877
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$610	40%	—	$933 – $2.2k
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$610	40%	—	$933 – $2.2k
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$610	40%	—	$933 – $2.2k
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$610	40%	—	$933 – $2.2k
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$650	40%	—	$995 – $2.3k
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	$832	40%	—	$1.3k – $2.9k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	$836	40%	—	$1.3k – $3.0k
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	$895	40%	—	$1.4k – $3.2k
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	$895	40%	—	$1.4k – $3.2k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	$908	40%	—	$1.4k – $3.2k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	$1.0k	40%	—	$1.6k – $3.6k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	$1.1k	40%	—	$1.7k – $4.0k
22	WellCare medicare advantage hmo case rate · outpatient	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k

Last updated: Apr 15, 2026

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