Initial high-complexity hospital inpatient or observation 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

1st Hospital IP/Obs Care High Mdm 75 Minutes

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 $258 is 13% above the median hospital's median price ($229), higher than 54% of the 1,272 hospitals reporting CPT 99223. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99223 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	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
2	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
3	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
4	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
5	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$122	$122	—	—	—	$122 – $122
6	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$126	$126	—	—	—	$126 – $126
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
9	WellCare medicare advantage hmo case rate · outpatient	$159	$159	—	—	—	$159 – $159
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
15	Aetna commercial fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$352	$352	—	—	—	$352 – $352
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$379	$379	—	—	—	$379 – $379
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$379	$379	—	—	—	$379 – $379
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$384	$384	—	—	—	$384 – $384
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$481	$481	—	—	—	$481 – $481

Last updated: Apr 15, 2026

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