Referral service by physician, 30 minutes scheduled 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

Ntrprof Phone/Ntrnet/Ehr Referral Svc 30 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 $32 is 20% below the median hospital's median price ($39), higher than 7% of the 654 hospitals reporting CPT 99452. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99452 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	$13	$13	—	—	—	$13 – $13
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$23	$23	—	—	—	$23 – $23
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$24	$24	—	—	—	$24 – $24
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
8	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
9	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
10	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
11	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
12	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
13	WellCare medicare advantage hmo case rate · outpatient	$37	$37	—	—	—	$37 – $37
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
16	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
17	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
19	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
20	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
21	Aetna commercial fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
22	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82

Last updated: Apr 15, 2026

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