Custom elbow, wrist and hand brace with adjustable joints 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 W/Joint(S) 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 $314 is 66% below the median hospital's median price ($920), higher than 1% of the 1,044 hospitals reporting HCPCS L3764. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3764 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	$105	$105	—	—	—	$105 – $105
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
4	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
5	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
6	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
7	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
8	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$246	$246	—	—	—	$246 – $246
9	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$252	$252	—	—	—	$252 – $252
10	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
11	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$314	$314	—	—	—	$314 – $314
12	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
13	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
14	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
15	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$393	$393	—	—	—	$393 – $393
17	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$440	$440	—	—	—	$440 – $440
18	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$450	$450	—	—	—	$450 – $450
19	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$450	$450	—	—	—	$450 – $450
20	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$463	$463	—	—	—	$463 – $463
21	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$463	$463	—	—	—	$463 – $463
22	WellCare medicare advantage hmo case rate · outpatient	$876	$876	—	—	—	$876 – $876

Last updated: Apr 15, 2026

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