Home visit for established patient, moderate complexity 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

Home/Res Visit Est Patient Mod Mdm 40 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 $167 is 19% above the median hospital's median price ($140), higher than 59% of the 947 hospitals reporting CPT 99349. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99349 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	$74	$74	—	—	—	$74 – $74
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
4	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
5	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$89	$89	—	—	—	$89 – $89
6	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$92	$92	—	—	—	$92 – $92
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
9	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
17	Aetna commercial fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$245	$245	—	—	—	$245 – $245
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$245	$245	—	—	—	$245 – $245
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$248	$248	—	—	—	$248 – $248
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$311	$311	—	—	—	$311 – $311

Last updated: Apr 15, 2026

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