Additional vulvar or perineal biopsy, each extra lesion 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

Biopsy Vulva/Perineum Each Addl Lesion

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 $98 is 75% below the median hospital's median price ($388), higher than 32% of the 1,665 hospitals reporting CPT 56606. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 56606 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	$26	$26	—	—	—	$26 – $26
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$27	$27	—	—	—	$27 – $27
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
5	WellCare medicare advantage hmo case rate · outpatient	$39	$39	—	—	—	$39 – $39
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$53	$53	$12	23%	—	$41 – $66
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$53	$53	$12	23%	—	$41 – $66
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$53	$53	$12	23%	—	$41 – $66
9	Aetna commercial fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
10	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$120	$120	$28	23%	—	$92 – $148
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$120	$120	$28	23%	—	$92 – $148
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$120	$120	$28	23%	—	$92 – $148
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$120	$120	$28	23%	—	$92 – $148
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$128	$128	$30	23%	—	$98 – $157
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$163	$163	$38	23%	—	$125 – $201
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$164	$164	$38	23%	—	$126 – $202
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$176	$176	$41	23%	—	$135 – $217
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$176	$176	$41	23%	—	$135 – $217
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$178	$178	$42	23%	—	$137 – $220
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$200	$200	$47	23%	—	$153 – $246
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$223	$223	$52	23%	—	$171 – $276

Last updated: Apr 15, 2026

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