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.
Original text from hospital filings
Transperineal Plmt Biodegradable Matrl 1/Mlt Njx
Eureka, IL
See all hospitals reporting CPT 55874 →Price type
Carle Eureka Hospital’s median price of $7.1k is 26% above the median hospital's median price ($5.6k), higher than 70% of the 1,797 hospitals reporting CPT 55874. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 | $162 | $162 | — | — | — | $162 – $162 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $167 | $167 | — | — | — | $167 – $167 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 6 | Aetna commercial fee schedule · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 19 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 20 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 21 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 22 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 23 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
Last updated: Apr 15, 2026
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