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
Esrd Related Svc Monthly 20&/>Yr Old 1 Visit
Eureka, IL
See all hospitals reporting CPT 90962 →Price type
Carle Eureka Hospital’s median price of $422 is 96% above the median hospital's median price ($215), higher than 76% of the 814 hospitals reporting CPT 90962. 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 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 2 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 3 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 5 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $196 | $196 | — | — | — | $196 – $196 |
| 6 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 7 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $201 | $201 | — | — | — | $201 – $201 |
| 8 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 9 | WellCare medicare advantage hmo case rate · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 10 | Aetna commercial fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $450 | $450 | — | — | — | $450 – $450 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $576 | $576 | — | — | — | $576 – $576 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $620 | $620 | — | — | — | $620 – $620 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $620 | $620 | — | — | — | $620 – $620 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $628 | $628 | — | — | — | $628 – $628 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $704 | $704 | — | — | — | $704 – $704 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $788 | $788 | — | — | — | $788 – $788 |
Last updated: Apr 15, 2026
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