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
Xwrap 1 sq cm
Eureka, IL
See all hospitals reporting HCPCS Q4204 →Price type
Carle Eureka Hospital’s median price of $2.3k is 491% above the median hospital's median price ($381), higher than 63% of the 926 hospitals reporting HCPCS Q4204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 | WellCare medicare advantage hmo case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 2 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $430 | $430 | — | — | — | $430 – $430 |
| 3 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $430 | $430 | — | — | — | $430 – $430 |
| 4 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: Apr 15, 2026
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