Complex chronic care management, first 60 minutes 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Cmplx Chron Care Mgmt W/O Pt Vst 1st Hr per Mo

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $157 is 6% below the median hospital's median price ($168), higher than 38% of the 1,224 hospitals reporting CPT 99487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99487 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$64	$64	—	—	—	$64 – $64
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
3	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
5	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
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	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
10	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
11	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
12	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
13	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
14	Aetna commercial fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
15	WellCare medicare advantage hmo case rate · outpatient	$190	$190	—	—	—	$190 – $190
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$246	$246	—	—	—	$246 – $246
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$276	$276	—	—	—	$276 – $276

Last updated: Apr 15, 2026

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