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
Liver Elastography W/O Imag W/I&R
Eureka, IL
See all hospitals reporting CPT 91200 →Price type
Carle Eureka Hospital’s median price of $116 is 26% below the median hospital's median price ($156), higher than 24% of the 1,561 hospitals reporting CPT 91200. 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, 23 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 | Aetna commercial fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $67 | $67 | $29 | 44% | — | $38 – $96 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $67 | $67 | $29 | 44% | — | $38 – $96 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $67 | $67 | $29 | 44% | — | $38 – $96 |
| 9 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $150 | $150 | $65 | 44% | — | $85 – $215 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $150 | $150 | $65 | 44% | — | $85 – $215 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $150 | $150 | $65 | 44% | — | $85 – $215 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $150 | $150 | $65 | 44% | — | $85 – $215 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $160 | $160 | $70 | 44% | — | $90 – $229 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $89 | 44% | — | $115 – $293 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $205 | $205 | $89 | 44% | — | $116 – $295 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $220 | $220 | $96 | 44% | — | $124 – $316 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $220 | $220 | $96 | 44% | — | $124 – $316 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $223 | $223 | $97 | 44% | — | $126 – $320 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $250 | $250 | $109 | 44% | — | $141 – $359 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $280 | $280 | $122 | 44% | — | $158 – $402 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
Last updated: Apr 15, 2026
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