CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Carle Eureka Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.7× the $136 Medicare rate · typically $70–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $9 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $91 This hospital $82 Cash price $328 Hospital's list price $328

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IL hospitals compared.

Cheapest $65 Priciest $86

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $91 (about 0.7× the $136 Medicare rate). Carle Eureka Hospital charges insurers about $82, or about $328 in cash — about the fair price. Located in Eureka, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $101 - $214 74%
Blue Cross Blue Shieldmajor $207 - $291 153%
Aetnamajor $71 - $229 52%
Cignamajor $82 60%
Humanamajor $69 - $156 51%
HealthLink $201 - $226 148%
Meridian $31 - $167 23%
Molina $62 - $167 46%
WellCare $132 97%
+ 1 smaller / regional plan $185 - $208
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 101 S Major St, Eureka, IL 61530
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals