Outpatient specialist consultation, moderate complexity, unscheduled 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

OFF/OP CNSLTJ NEW/EST MOD 40

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $142 is 32% below the median hospital's median price ($209), higher than 20% of the 1,141 hospitals reporting CPT 99244. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99244 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 5 payers, 8 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	$139	$139	—	—	—	$139 – $139
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
3	UnitedHealthcare va ccn/optum fee schedule · inpatient	$140	$140	—	—	—	$140 – $140
4	UnitedHealthcare va ccn/optum fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$143	$143	—	—	—	$143 – $143
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
7	WellCare medicare advantage hmo case rate · outpatient	$158	$158	—	—	—	$158 – $158
8	Aetna commercial fee schedule · outpatient	$251	$251	—	—	—	$251 – $251

Last updated: Apr 15, 2026

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