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
Pdt Dstr Prmlg Les Skn Illum/Activj by Phys/Qhp
Eureka, IL
See all hospitals reporting CPT 96573 →Price type
Carle Eureka Hospital’s median price of $542 is 132% above the median hospital's median price ($234), higher than 82% of the 1,398 hospitals reporting CPT 96573. 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $213 | $213 | — | — | — | $213 – $213 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 4 | WellCare medicare advantage hmo case rate · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $219 | $219 | — | — | — | $219 – $219 |
| 6 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 10 | Aetna commercial fee schedule · outpatient | $391 | $391 | — | — | — | $391 – $391 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $542 | $542 | — | — | — | $542 – $542 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $542 | $542 | — | — | — | $542 – $542 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $542 | $542 | — | — | — | $542 – $542 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $542 | $542 | — | — | — | $542 – $542 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $578 | $578 | — | — | — | $578 – $578 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $739 | $739 | — | — | — | $739 – $739 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $743 | $743 | — | — | — | $743 – $743 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $796 | $796 | — | — | — | $796 – $796 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $796 | $796 | — | — | — | $796 – $796 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $807 | $807 | — | — | — | $807 – $807 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $903 | $903 | — | — | — | $903 – $903 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 15, 2026
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