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
Replace non-molded calf lace
Eureka, IL
See all hospitals reporting HCPCS L4055 →Price type
Carle Eureka Hospital’s median price of $162 is 50% below the median hospital's median price ($322), higher than 2% of the 812 hospitals reporting HCPCS L4055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $158 | $158 | — | — | — | $158 – $158 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $162 | $162 | — | — | — | $162 – $162 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $307 | $307 | — | — | — | $307 – $307 |
Last updated: Apr 15, 2026
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