Flexible 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

Sigmoidoscopy Flx 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 $826 is 23% below the median hospital's median price ($1.1k), higher than 22% of the 2,245 hospitals reporting CPT 45331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 45331 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	$69	$69	—	—	—	$69 – $69
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$71	$71	—	—	—	$71 – $71
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
5	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
6	Aetna commercial fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$329	$329	$60	18%	—	$269 – $389
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$329	$329	$60	18%	—	$269 – $389
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$329	$329	$60	18%	—	$269 – $389
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$740	$740	$135	18%	—	$605 – $875
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$740	$740	$135	18%	—	$605 – $875
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$740	$740	$135	18%	—	$605 – $875
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$740	$740	$135	18%	—	$605 – $875
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$789	$789	$144	18%	—	$646 – $933
15	WellCare medicare advantage hmo case rate · outpatient	$997	$997	—	—	—	$997 – $997
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$184	18%	—	$826 – $1.2k
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$185	18%	—	$830 – $1.2k
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	$198	18%	—	$889 – $1.3k
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$198	18%	—	$889 – $1.3k
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$201	18%	—	$901 – $1.3k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$225	18%	—	$1.0k – $1.5k
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	$252	18%	—	$1.1k – $1.6k

Last updated: Apr 15, 2026

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