Topical fluoride varnish application 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

Appl Topical Fluoride Varnish by Phys/Qhp

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 $12 is 53% below the median hospital's median price ($25), higher than 17% of the 928 hospitals reporting CPT 99188. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99188 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	$5	$5	—	—	—	$5 – $5
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$10	$10	—	—	—	$10 – $10
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$10	$10	—	—	—	$10 – $10
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
8	UnitedHealthcare va ccn/optum fee schedule · inpatient	$10	$10	—	—	—	$10 – $10
9	UnitedHealthcare va ccn/optum fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
13	WellCare medicare advantage hmo case rate · outpatient	$12	$12	—	—	—	$12 – $12
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
20	Aetna commercial fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
23	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82

Last updated: Apr 15, 2026

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