Transitional care visit within 2 days of discharge 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

Transj Care Mgmt High Mdm F2f 7 Cal D Discharge

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 $222 is 20% above the median hospital's median price ($186), higher than 66% of the 1,604 hospitals reporting CPT 99496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99496 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	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
2	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$105	$105	$31	30%	—	$74 – $137
3	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$105	$105	$31	30%	—	$74 – $137
4	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$105	$105	$31	30%	—	$74 – $137
5	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$134	$134	—	—	—	$134 – $134
6	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$138	$138	—	—	—	$138 – $138
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
9	WellCare medicare advantage hmo case rate · outpatient	$143	$143	—	—	—	$143 – $143
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$237	$237	$71	30%	—	$167 – $308
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$237	$237	$71	30%	—	$167 – $308
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$237	$237	$71	30%	—	$167 – $308
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$237	$237	$71	30%	—	$167 – $308
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$253	$253	$75	30%	—	$178 – $328
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$324	$324	$96	30%	—	$227 – $420
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$325	$325	$97	30%	—	$228 – $422
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$348	$348	$104	30%	—	$245 – $452
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$348	$348	$104	30%	—	$245 – $452
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$353	$353	$105	30%	—	$248 – $458
20	Aetna commercial fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$395	$395	$118	30%	—	$278 – $513
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$443	$443	$132	30%	—	$311 – $575

Last updated: Apr 15, 2026

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