Physical therapy re-evaluation and care plan update 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

Pt Re-Eval

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 $148 is 38% above the median hospital's median price ($107), higher than 69% of the 2,576 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97164 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	$51	$51	—	—	—	$51 – $51
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$52	$52	—	—	—	$52 – $52
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
5	WellCare medicare advantage hmo case rate · outpatient	$65	$65	—	—	—	$65 – $65
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
9	Aetna commercial fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	2–20	$148 – $148
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	2–20	$202 – $202
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$203	$203	—	—	—	$203 – $203
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$246	$246	—	—	—	$246 – $246
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$276	$276	—	—	—	$276 – $276

Last updated: Apr 15, 2026

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