Adenoid removal surgery for children under 12 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

Adenoidectomy Primary <Age 12

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 $476 is 86% below the median hospital's median price ($3.5k), higher than 14% of the 1,863 hospitals reporting CPT 42830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42830 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	$206	$206	—	—	—	$206 – $206
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
4	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
5	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
6	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$212	$212	—	—	—	$212 – $212
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
9	Aetna commercial fee schedule · outpatient	$407	$407	—	—	—	$407 – $407
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$508	$508	—	—	—	$508 – $508
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$653	$653	—	—	—	$653 – $653
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$699	$699	—	—	—	$699 – $699
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$699	$699	—	—	—	$699 – $699
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$709	$709	—	—	—	$709 – $709
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$794	$794	—	—	—	$794 – $794
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$889	$889	—	—	—	$889 – $889
22	WellCare medicare advantage hmo case rate · outpatient	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k

Last updated: Apr 15, 2026

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