Occupational therapy evaluation, moderate complexity, 45 minutes 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

Ot Eval Moderate Complexity (0-30 Minutes)

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $156 is 6% below the median hospital's median price ($167), higher than 46% of the 2,556 hospitals reporting CPT 97166. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97166 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$69	$67	$5	7%	—	$57 – $69
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$69	$67	$5	7%	6–60	$57 – $69
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$69	$67	$5	7%	—	$57 – $69
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$73	$73	—	—	—	$73 – $73
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$76	$76	—	—	—	$76 – $76
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
8	WellCare medicare advantage hmo case rate · outpatient	$96	$96	—	—	—	$96 – $96
9	Blue Cross Blue Shield managed medicaid other · outpatient	$135	$135	—	—	6–60	$135 – $135
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$156	$152	$10	7%	6–60	$129 – $156
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$156	$152	$10	7%	6–60	$129 – $156
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$156	$152	$10	7%	6–60	$129 – $156
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$156	$152	$10	7%	6–60	$129 – $156
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$167	$162	$11	7%	—	$137 – $167
15	Aetna commercial fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$214	$208	$14	7%	6–60	$176 – $214
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$215	$209	$14	7%	6–60	$177 – $215
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$229	$223	$15	7%	—	$189 – $229
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$229	$223	$15	7%	—	$189 – $229
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$232	$226	$15	7%	—	$192 – $232
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$260	$253	$17	7%	—	$215 – $260
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$291	$283	$19	7%	6–60	$240 – $291

Last updated: Apr 15, 2026

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