Follow-up hospital visit, straightforward care 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

Sbsq Hospital IP/Obs Care Sf/Low Mdm 25 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 $56 is 5% below the median hospital's median price ($59), higher than 47% of the 1,273 hospitals reporting CPT 99231. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99231 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	$23	$23	—	—	—	$23 – $23
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$35	$35	—	—	—	$35 – $35
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$36	$36	—	—	—	$36 – $36
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
8	WellCare medicare advantage hmo case rate · outpatient	$45	$45	—	—	—	$45 – $45
9	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
10	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
11	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
12	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
13	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
16	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
17	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
19	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
21	Aetna commercial fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97

Last updated: Apr 15, 2026

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