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
Sulfate, U Ref
Eureka, IL
See all hospitals reporting CPT 84392 →Price type
Carle Eureka Hospital’s median price of $14 is 75% above the median hospital's median price ($8), higher than 72% of the 2,189 hospitals reporting CPT 84392. 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, 21 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 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $6 | $6 | $1 | 21% | — | $4 – $7 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 21% | — | $4 – $7 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $6 | $6 | $1 | 21% | — | $4 – $7 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $3 | 21% | — | $10 – $15 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $3 | 21% | — | $10 – $15 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $3 | 21% | — | $10 – $15 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $3 | 21% | — | $10 – $15 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $3 | 21% | — | $11 – $16 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $4 | 21% | — | $14 – $21 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $4 | 21% | — | $14 – $21 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $4 | 21% | — | $14 – $21 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $4 | 21% | — | $15 – $22 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $4 | 21% | — | $15 – $22 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $4 | 21% | — | $15 – $23 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $5 | 21% | — | $17 – $26 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $5 | 21% | — | $18 – $29 |
Last updated: Apr 15, 2026
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