Follow-up extended eye exam with retinal drawing 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

Extended Ophthalmoscopy W/Retinal Drawing W/Interpretation & Report Subsequent

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $115 is 105% above the median hospital's median price ($56), higher than 72% of the 359 hospitals reporting CPT 92226. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92226 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 7 payers, 16 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
4	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
5	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
6	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
7	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
8	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
10	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
11	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
12	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
13	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
14	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
15	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
16	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160

Last updated: Apr 15, 2026

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