Rigid sigmoidoscopy with tissue biopsy 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

Proctosgmdsc Rigid W/Bx Single/Multiple

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $501 is 63% below the median hospital's median price ($1.4k), higher than 20% of the 1,756 hospitals reporting CPT 45305. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 45305 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$71	$71	—	—	—	$71 – $71
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$73	$73	—	—	—	$73 – $73
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
5	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
6	Aetna commercial fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$232	$232	$69	30%	—	$163 – $301
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$232	$232	$69	30%	—	$163 – $301
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$232	$232	$69	30%	—	$163 – $301
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$522	$522	$155	30%	—	$367 – $676
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$522	$522	$155	30%	—	$367 – $676
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$522	$522	$155	30%	—	$367 – $676
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$522	$522	$155	30%	—	$367 – $676
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$557	$557	$165	30%	—	$392 – $721
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$712	$712	$211	30%	—	$501 – $923
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$715	$715	$212	30%	—	$503 – $927
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$766	$766	$227	30%	—	$539 – $993
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$766	$766	$227	30%	—	$539 – $993
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$777	$777	$230	30%	—	$547 – $1.0k
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$870	$870	$258	30%	—	$612 – $1.1k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$974	$974	$289	30%	—	$685 – $1.3k
22	WellCare medicare advantage hmo case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Last updated: Apr 15, 2026

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