Amniotic membrane placement on the eye surface, no sutures 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

Place Amniotic Membrane Ocular Surface W/O Sutures

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $1.3k is 5% above the median hospital's median price ($1.3k), higher than 52% of the 1,507 hospitals reporting CPT 65778. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 65778 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	$53	$53	—	—	—	$53 – $53
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$55	$55	—	—	—	$55 – $55
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
5	Aetna commercial fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
6	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$892	$892	$444	50%	—	$448 – $1.3k
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$892	$892	$444	50%	—	$448 – $1.3k
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$892	$892	$444	50%	—	$448 – $1.3k
10	WellCare medicare advantage hmo case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	$999	50%	—	$1.0k – $3.0k
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	$999	50%	—	$1.0k – $3.0k
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	$999	50%	—	$1.0k – $3.0k
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	$999	50%	—	$1.0k – $3.0k
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	$1.1k	50%	—	$1.1k – $3.2k
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.7k	$1.4k	50%	—	$1.4k – $4.1k
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$1.4k	50%	—	$1.4k – $4.1k
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$2.9k	$2.9k	$1.5k	50%	—	$1.5k – $4.4k
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	$1.5k	50%	—	$1.5k – $4.4k
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	$1.5k	50%	—	$1.5k – $4.5k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$3.3k	$3.3k	$1.7k	50%	—	$1.7k – $5.0k
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$3.7k	$3.7k	$1.9k	50%	—	$1.9k – $5.6k

Last updated: Apr 15, 2026

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