Prolonged non-face-to-face physician service 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

Prolng E/M Svc Before&/After Dir Pt Care 1st Hr

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 $128 is 17% below the median hospital's median price ($155), higher than 42% of the 853 hospitals reporting CPT 99358. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99358 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	$53	$53	$11	20%	—	$43 – $64
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$53	$53	$11	20%	—	$43 – $64
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$53	$53	$11	20%	—	$43 – $64
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$64	$64	—	—	—	$64 – $64
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$66	$66	—	—	—	$66 – $66
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
8	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
9	WellCare medicare advantage hmo case rate · outpatient	$91	$91	—	—	—	$91 – $91
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$120	$120	$24	20%	—	$96 – $144
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$120	$120	$24	20%	—	$96 – $144
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$120	$120	$24	20%	—	$96 – $144
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$120	$120	$24	20%	—	$96 – $144
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$128	$128	$25	20%	—	$103 – $154
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$164	$164	$33	20%	—	$131 – $196
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$165	$165	$33	20%	—	$132 – $197
17	Aetna commercial fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$176	$176	$35	20%	—	$141 – $212
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$176	$176	$35	20%	—	$141 – $212
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$179	$179	$36	20%	—	$143 – $214
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$200	$200	$40	20%	—	$161 – $240
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$224	$224	$45	20%	—	$180 – $269

Last updated: Apr 15, 2026

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