Fallopian tube dye test during procedure 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.

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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

Chromotubation Oviduct W/Materials

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 $293 is 94% below the median hospital's median price ($5.1k), higher than 17% of the 1,847 hospitals reporting CPT 58350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 58350 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	$81	$81	—	—	—	$81 – $81
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
3	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$84	$84	—	—	—	$84 – $84
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
9	Aetna commercial fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$312	$312	—	—	—	$312 – $312
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$400	$400	—	—	—	$400 – $400
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$402	$402	—	—	—	$402 – $402
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$436	$436	—	—	—	$436 – $436
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$488	$488	—	—	—	$488 – $488
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$547	$547	—	—	—	$547 – $547
22	WellCare medicare advantage hmo case rate · outpatient	$5.4k	$5.4k	—	—	—	$5.4k – $5.4k

Last updated: Apr 15, 2026

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