Brief outpatient follow-up visit with established patient 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

Non-Emergent Care Lvl 1 Est Pt

Eureka, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Carle Eureka Hospital’s median price of $48 is 29% below the median hospital's median price ($68), higher than 37% of the 2,137 hospitals reporting CPT 99211. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99211 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	$6	$6	—	—	—	$6 – $6
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$6	$6	—	—	—	$6 – $6
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
5	UnitedHealthcare va ccn/optum fee schedule · inpatient	$9	$9	—	—	—	$9 – $9
6	UnitedHealthcare va ccn/optum fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
7	Aetna commercial fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
8	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$26	$23	$6	25%	—	$13 – $26
9	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$26	$23	$6	25%	4–40	$13 – $26
10	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$26	$23	$6	25%	—	$13 – $26
11	WellCare medicare advantage hmo case rate · outpatient	$23	$23	—	—	—	$23 – $23
12	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$59	$51	$13	25%	4–40	$29 – $59
13	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$59	$51	$13	25%	4–40	$29 – $59
14	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$59	$51	$13	25%	4–40	$29 – $59
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$63	$55	$14	25%	—	$31 – $63
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$80	$70	$18	25%	4–40	$39 – $80
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$81	$71	$18	25%	4–40	$39 – $81
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$87	$76	$19	25%	—	$42 – $87
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$87	$76	$19	25%	—	$42 – $87
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$88	$77	$19	25%	—	$43 – $88
21	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$98	$86	$22	25%	—	$48 – $98
23	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$110	$96	$24	25%	17	$54 – $110
24	Blue Cross Blue Shield managed medicaid other · outpatient	$125	$125	—	—	4–40	$125 – $125

Last updated: Apr 15, 2026

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