Dilation of tear duct opening 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dilation Lacrimal Punctum W/WO Irrgation

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 $281 is 41% below the median hospital's median price ($480), higher than 20% of the 1,574 hospitals reporting CPT 68801. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68801 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	$77	$77	—	—	—	$77 – $77
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$80	$80	—	—	—	$80 – $80
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
5	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$114	$114	$22	19%	—	$92 – $136
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$114	$114	$22	19%	—	$92 – $136
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$114	$114	$22	19%	—	$92 – $136
9	Aetna commercial fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$256	$256	$50	19%	—	$206 – $306
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$256	$256	$50	19%	—	$206 – $306
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$256	$256	$50	19%	—	$206 – $306
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$256	$256	$50	19%	—	$206 – $306
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$273	$273	$53	19%	—	$220 – $326
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$349	$349	$68	19%	—	$281 – $417
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$351	$351	$68	19%	—	$283 – $419
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$376	$376	$73	19%	—	$303 – $449
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$376	$376	$73	19%	—	$303 – $449
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$381	$381	$74	19%	—	$307 – $455
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$426	$426	$83	19%	—	$344 – $509
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$478	$478	$93	19%	—	$385 – $570
22	WellCare medicare advantage hmo case rate · outpatient	$479	$479	—	—	—	$479 – $479

Last updated: Apr 15, 2026

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