Outpatient new patient office visit 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

Prenatal New Low Mdm 30-44 Minutes

Eureka, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Carle Eureka Hospital’s median price of $182 is 24% above the median hospital's median price ($146), higher than 61% of the 1,972 hospitals reporting CPT 99203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99203 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 24 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	$59	$59	—	—	—	$59 – $59
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$60	$60	—	—	—	$60 – $60
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$61	$67	$10	14%	—	$61 – $81
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$61	$67	$10	14%	3–30	$61 – $81
7	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$61	$67	$10	14%	—	$61 – $81
8	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
9	WellCare medicare advantage hmo case rate · outpatient	$115	$115	—	—	—	$115 – $115
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$136	$152	$22	14%	3–30	$136 – $182
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$136	$152	$22	14%	3–30	$136 – $182
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$136	$152	$22	14%	—	$136 – $182
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$136	$152	$22	14%	—	$136 – $182
14	Aetna commercial fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$145	$162	$23	14%	—	$145 – $194
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$186	$207	$30	14%	3–30	$186 – $249
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$187	$208	$30	14%	18	$187 – $250
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$200	$223	$32	14%	—	$200 – $268
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$200	$223	$32	14%	—	$200 – $268
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$203	$226	$32	14%	—	$203 – $271
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$227	$253	$36	14%	—	$227 – $304
22	Blue Cross Blue Shield managed medicaid other · outpatient	$256	$256	—	—	3–30	$256 – $256
23	Aetna Better Health managed medicaid other · outpatient	$266	$266	—	—	3–30	$266 – $266
24	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$255	$283	$40	14%	37	$255 – $340

Last updated: Apr 15, 2026

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