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
Injection Therapeutic Agent Into Tenon`S Capsule
Eureka, IL
See all hospitals reporting CPT 67515 →Price type
Carle Eureka Hospital’s median price of $200 is 45% below the median hospital's median price ($363), higher than 18% of the 1,552 hospitals reporting CPT 67515. 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, 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 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Aetna commercial fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $116 | $116 | $51 | 44% | — | $65 – $167 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $116 | $116 | $51 | 44% | — | $65 – $167 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $116 | $116 | $51 | 44% | — | $65 – $167 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $115 | 44% | — | $147 – $376 |
| 11 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $115 | 44% | — | $147 – $376 |
| 12 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $115 | 44% | — | $147 – $376 |
| 13 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $115 | 44% | — | $147 – $376 |
| 14 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $279 | $279 | $122 | 44% | — | $156 – $401 |
| 15 | WellCare medicare advantage hmo case rate · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $356 | $356 | $156 | 44% | — | $200 – $513 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $358 | $358 | $157 | 44% | — | $201 – $515 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $384 | $384 | $168 | 44% | — | $215 – $552 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $384 | $384 | $168 | 44% | — | $215 – $552 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $389 | $389 | $171 | 44% | — | $218 – $559 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $435 | $435 | $191 | 44% | — | $245 – $626 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $488 | $488 | $214 | 44% | — | $274 – $701 |
Last updated: Apr 15, 2026
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