Drainage of a tonsil abscess 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inc/Drain Peritonsil Abscess

Eureka, IL

See all hospitals reporting CPT 42700 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Carle Eureka Hospital’s median price of $465 is 24% above the median hospital's median price ($374), higher than 59% of the 2,145 hospitals reporting CPT 42700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42700 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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.

Filter by billing methodology

Filter by billing class

#
1	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
2	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$132	$132	—	—	—	$132 – $132
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$136	$136	—	—	—	$136 – $136
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$196	$206	$18	9%	—	$192 – $231
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$196	$206	$18	9%	—	$192 – $231
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$196	$206	$18	9%	—	$192 – $231
9	WellCare medicare advantage hmo case rate · outpatient	$254	$254	—	—	—	$254 – $254
10	Aetna commercial fee schedule · outpatient	$260	$260	—	—	—	$260 – $260
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$440	$464	$40	9%	—	$432 – $520
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$440	$464	$40	9%	—	$432 – $520
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$440	$464	$40	9%	—	$432 – $520
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$440	$464	$40	9%	—	$432 – $520
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$469	$495	$42	9%	—	$461 – $555
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$603	$636	$55	9%	—	$592 – $713
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$628	$639	$48	8%	—	$589 – $710
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$646	$682	$58	9%	—	$635 – $764
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$646	$682	$58	9%	—	$635 – $764
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$655	$691	$59	9%	—	$643 – $775
21	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$734	$774	$66	9%	—	$720 – $867
23	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$822	$866	$74	9%	—	$806 – $971

Last updated: Apr 15, 2026

Compare to other hospitals

See Drainage of a tonsil abscess pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.