Eye exam and evaluation for an established patient 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Oph Svcs Medical Xm&Eval Intermediate Est Pt

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 $143 is 4% above the median hospital's median price ($137), higher than 55% of the 1,366 hospitals reporting CPT 92012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92012 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	$39	$39	—	—	—	$39 – $39
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$41	$41	—	—	—	$41 – $41
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$69	$69	$18	26%	—	$51 – $87
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$69	$69	$18	26%	—	$51 – $87
7	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$69	$69	$18	26%	—	$51 – $87
8	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
9	Aetna commercial fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
10	WellCare medicare advantage hmo case rate · outpatient	$143	$143	—	—	—	$143 – $143
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$156	$156	$41	26%	—	$115 – $196
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$156	$156	$41	26%	—	$115 – $196
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$156	$156	$41	26%	—	$115 – $196
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$156	$156	$41	26%	—	$115 – $196
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$166	$166	$43	26%	—	$123 – $209
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$212	$212	$55	26%	—	$157 – $268
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$213	$213	$56	26%	—	$158 – $269
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$229	$229	$59	26%	—	$169 – $288
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$229	$229	$59	26%	—	$169 – $288
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$232	$232	$60	26%	—	$172 – $292
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$260	$260	$68	26%	—	$192 – $327
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$291	$291	$76	26%	—	$215 – $366

Last updated: Apr 15, 2026

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