Initial nursing facility 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

Initial Nursing Facility Care Sf/Low Mdm 25 Min

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 $117 is 19% above the median hospital's median price ($98), higher than 60% of the 1,015 hospitals reporting CPT 99304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99304 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	$52	$52	—	—	—	$52 – $52
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$56	$56	—	—	—	$56 – $56
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$58	$58	—	—	—	$58 – $58
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
8	WellCare medicare advantage hmo case rate · outpatient	$80	$80	—	—	—	$80 – $80
9	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
15	Aetna commercial fee schedule · outpatient	$151	$151	—	—	—	$151 – $151
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$194	$194	—	—	—	$194 – $194
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218

Last updated: Apr 15, 2026

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