Custom rigid elbow, wrist and hand brace 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

Ewho Rigid W/O Jnts Cf

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 $272 is 67% below the median hospital's median price ($832), higher than 8% of the 1,308 hospitals reporting HCPCS L3763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3763 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	$91	$91	—	—	—	$91 – $91
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
4	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
5	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
6	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
7	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
8	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$213	$213	—	—	—	$213 – $213
9	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
10	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
11	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
12	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$280	$280	—	—	—	$280 – $280
13	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
14	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
15	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$304	$304	—	—	—	$304 – $304
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$340	$340	—	—	—	$340 – $340
17	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$381	$381	—	—	—	$381 – $381
18	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$430	$430	—	—	—	$430 – $430
19	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$430	$430	—	—	—	$430 – $430
20	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$442	$442	—	—	—	$442 – $442
21	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$442	$442	—	—	—	$442 – $442
22	WellCare medicare advantage hmo case rate · outpatient	$837	$837	—	—	—	$837 – $837

Last updated: Apr 15, 2026

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