Upper endoscopy with ultrasound of the esophagus and stomach 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

Esophagogastroduodenoscopy US Scope W/Adj Strxrs

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 $462 is 79% below the median hospital's median price ($2.2k), higher than 12% of the 1,879 hospitals reporting CPT 43237. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43237 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	$189	$189	—	—	—	$189 – $189
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$195	$195	—	—	—	$195 – $195
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$195	$195	—	—	—	$195 – $195
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
9	Aetna commercial fee schedule · outpatient	$367	$367	—	—	—	$367 – $367
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$462	$462	—	—	—	$462 – $462
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$462	$462	—	—	—	$462 – $462
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$462	$462	—	—	—	$462 – $462
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$462	$462	—	—	—	$462 – $462
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$492	$492	—	—	—	$492 – $492
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$630	$630	—	—	—	$630 – $630
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$633	$633	—	—	—	$633 – $633
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$678	$678	—	—	—	$678 – $678
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$678	$678	—	—	—	$678 – $678
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$687	$687	—	—	—	$687 – $687
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$770	$770	—	—	—	$770 – $770
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$862	$862	—	—	—	$862 – $862
22	WellCare medicare advantage hmo case rate · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k

Last updated: Apr 15, 2026

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