Umbilical hernia repair in children under 5 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

Repair Umbilical Hern,<5y/O,Reduc

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $842 is 80% below the median hospital's median price ($4.2k), higher than 18% of the 799 hospitals reporting CPT 49580. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 49580 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 7 payers, 16 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
3	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
4	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
5	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$789	$789	—	—	—	$789 – $789
6	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$789	$789	—	—	—	$789 – $789
7	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$789	$789	—	—	—	$789 – $789
8	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$789	$789	—	—	—	$789 – $789
9	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$842	$842	—	—	—	$842 – $842
10	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
11	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
12	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
13	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Last updated: Apr 15, 2026

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