Drainage of roof-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

Drainage Abscess Palate/Uvula

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 $257 is 27% below the median hospital's median price ($350), higher than 31% of the 1,841 hospitals reporting CPT 42000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42000 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	$105	$105	—	—	—	$105 – $105
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$108	$108	—	—	—	$108 – $108
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
9	Aetna commercial fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
10	WellCare medicare advantage hmo case rate · outpatient	$254	$254	—	—	—	$254 – $254
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$378	$378	—	—	—	$378 – $378
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$378	$378	—	—	—	$378 – $378
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$383	$383	—	—	—	$383 – $383
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$429	$429	—	—	—	$429 – $429
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480

Last updated: Apr 15, 2026

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