Initial annual wellness visit with prevention plan 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

Ppps, Initial Visit

Eureka, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Carle Eureka Hospital’s median price of $214 is 17% above the median hospital's median price ($182), higher than 69% of the 1,277 hospitals reporting HCPCS G0438. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0438 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	$86	$86	$9	11%	—	$76 – $95
3	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$86	$86	$9	11%	—	$76 – $95
4	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$86	$86	$9	11%	—	$76 – $95
5	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$162	$162	—	—	—	$162 – $162
6	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$167	$167	—	—	—	$167 – $167
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
9	WellCare medicare advantage hmo case rate · outpatient	$170	$170	—	—	—	$170 – $170
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$193	$193	$21	11%	—	$172 – $214
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$193	$193	$21	11%	—	$172 – $214
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$193	$193	$21	11%	—	$172 – $214
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$193	$193	$21	11%	—	$172 – $214
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$206	$206	$22	11%	—	$183 – $228
15	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$263	$263	$29	11%	—	$235 – $292
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$264	$264	$29	11%	—	$236 – $293
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$283	$283	$31	11%	—	$253 – $314
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$283	$283	$31	11%	—	$253 – $314
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$287	$287	$31	11%	—	$256 – $318
21	Aetna commercial fee schedule · outpatient	$308	$308	—	—	—	$308 – $308
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$321	$321	$35	11%	—	$287 – $356
23	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$360	$360	$39	11%	—	$321 – $399

Last updated: Apr 15, 2026

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