Behavior treatment with protocol modification by a clinician 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

Adapt Bhv Tx Prtcl Modificaj Phys/Qhp Ea 15 Min

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $224 is 38% above the median hospital's median price ($163), higher than 83% of the 1,022 hospitals reporting CPT 97155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97155 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 21 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	$19	$19	—	—	—	$19 – $19
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$20	$20	—	—	—	$20 – $20
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
7	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
8	WellCare medicare advantage hmo case rate · outpatient	$190	$190	—	—	—	$190 – $190
9	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
10	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
11	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
12	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
13	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$231	$231	—	—	—	$231 – $231
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	—	$296 – $296
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$362	$362	—	—	—	$362 – $362
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$405	$405	—	—	—	$405 – $405

Last updated: Apr 15, 2026

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