Endoscopic bile duct and pancreas exam with tissue sampling 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

Ercp W/Biopsy Single/Multiple

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 $794 is 80% below the median hospital's median price ($3.9k), higher than 12% of the 1,900 hospitals reporting CPT 43261. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43261 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	$327	$327	—	—	—	$327 – $327
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$337	$337	—	—	—	$337 – $337
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$337	$337	—	—	—	$337 – $337
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
9	Aetna commercial fee schedule · outpatient	$634	$634	—	—	—	$634 – $634
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$794	$794	—	—	—	$794 – $794
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$794	$794	—	—	—	$794 – $794
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$794	$794	—	—	—	$794 – $794
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$794	$794	—	—	—	$794 – $794
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$847	$847	—	—	—	$847 – $847
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	WellCare medicare advantage hmo case rate · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k

Last updated: Apr 15, 2026

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