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.
Original text from hospital filings
Hfo W/Jnts Cf
Eureka, IL
See all hospitals reporting HCPCS L3921 →Price type
Carle Eureka Hospital’s median price of $129 is 65% below the median hospital's median price ($364), higher than 2% of the 1,210 hospitals reporting HCPCS L3921. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 7 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 12 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 13 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 14 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 15 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 16 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 17 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 18 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $184 | $184 | — | — | — | $184 – $184 |
| 19 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 20 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $190 | $190 | — | — | — | $190 – $190 |
| 21 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 22 | WellCare medicare advantage hmo case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
Last updated: Apr 15, 2026
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