Removal or repair of mouth lesion 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

Exc Lesion Mucosa & Sbmcsl Vestibule Smpl Rpr

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 $880 is 48% below the median hospital's median price ($1.7k), higher than 23% of the 1,785 hospitals reporting CPT 40812. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 40812 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	$177	$177	—	—	—	$177 – $177
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$182	$182	—	—	—	$182 – $182
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
6	Aetna commercial fee schedule · outpatient	$342	$342	—	—	—	$342 – $342
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$357	$357	$70	20%	—	$287 – $427
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$357	$357	$70	20%	—	$287 – $427
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$357	$357	$70	20%	—	$287 – $427
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$803	$803	$158	20%	—	$645 – $961
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$803	$803	$158	20%	—	$645 – $961
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$803	$803	$158	20%	—	$645 – $961
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$803	$803	$158	20%	—	$645 – $961
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$856	$856	$168	20%	—	$688 – $1.0k
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$216	20%	—	$880 – $1.3k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$217	20%	—	$884 – $1.3k
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	$232	20%	—	$947 – $1.4k
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$232	20%	—	$947 – $1.4k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$235	20%	—	$960 – $1.4k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$263	20%	—	$1.1k – $1.6k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$295	20%	—	$1.2k – $1.8k
22	WellCare medicare advantage hmo case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Last updated: Apr 15, 2026

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