Supplies, drugs & other prices at Carle Eureka Hospital

Eureka, IL · every code in this section with a posted price and a Medicare benchmark.

148 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,945 $2,945 3.5×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T)
likely a partial charge, not the full procedure
$3,308 $3,308 0.3×
Adm tocilizu covid-19 1st (M0249) $1,181 $1,181 2.5×
Adm tocilizu covid-19 2nd (M0250) $1,181 $1,181 2.5×
Admin hepatitis b vaccine (G0010) $113 $113 2.3×
Admin influenza virus vac (G0008) $118 $118 2.4×
Admin pneumococcal vaccine (G0009) $106 $106 2.1×
Alcohol/subs interv 15-30mn (G0396) $144 $144 3.6×
Alcohol/subs interv >30 min (G0397) $482 $482 2.5×
Anatomic guide 3d printed 1st anatomic guide (0561T) $3,375 $3,375 23.7×
Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) $2,313 $2,313 16.2×
Annual alcohol screen 15 min (G0442) $119 $119 3.0×
Behavior counsel obesity 15m (G0447)
range across 2 matching MRF lines
$138–$227 $138–$227 varies
Brief alcohol misuse counsel (G0443) $203 $203 1.9×
Brief chkin by md/qhp, 11-20 (G2252) $122 $122 4.3×
Brief chkin, 5-10, non-e/m (G2251) $65 $65 4.6×
Ca screen;flexi sigmoidscope (G0104) $1,014 $1,014 1.0×
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines
$116–$214 $116–$214 varies
Catheterize for urine spec (P9612) $26 $26 2.8×
Chemo extend iv infus w/pump (G0498) $596 $596 1.7×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$1,654–$2,409 $1,654–$2,409 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$1,654–$2,409 $1,654–$2,409 varies
Compre Audiom Threshold Eval & Speech Recog (0212T) $238 $238 1.7×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) $2,360 $2,360 25.3×
Covid-19 lab test non-cdc (U0002) $191 $191 3.7×
Cysto impl 4 or more (C9740) $12,972 $12,972 1.3×
Cystoscopy prostatic imp 1-3 (C9739) $6,821 $6,821 1.2×
Depression screen annual (G0444) $125 $125 3.1×
Diab manage trn per indiv (G0108)
range across 3 matching MRF lines
$49–$281 $49–$281 varies
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines
$67–$80 $67–$80 varies
Drug test def 1-7 classes (G0480) $458 $458 4.0×
Ed svc ckd grp per session (G0421) $54 $54 2.0×
Ed svc ckd ind per session (G0420) $222 $222 2.0×
Eia hiv-1/hiv-2 screen (G0432) $233 $233 11.9×
Elec stim other than wound (G0283) $98 $98 7.7×
Elec stim unattend for press (G0281) $76 $76 6.5×
Elisa hiv-1/hiv-2 screen (G0433) $61 $61 3.3×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$15,435 $15,435 0.3×
Eye mvmt analysis w/o spatial calibration i&r (0615T) $441 $441 3.1×
Fecal microbiota prep instil (G0455) $651 $651 0.7×
Fern test (Q0114) $106 $106 10.9×
Glaucoma scrn hgh risk direc (G0117) $125 $125 4.0×
Group mnt 2 or more 30 mins (G0271) $50 $50 2.9×
Group train w/o patient (G0543) $139 $139 4.5×
Hbot, full body chamber, 30m (G0277) $882 $882 6.0×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$596–$1,058 $596–$1,058 varies
Hospital outpt clinic visit (G0463)
range across 40 matching MRF lines
$131–$943 $131–$943 varies
Initial preventive exam (G0402)
range across 2 matching MRF lines
$286–$463 $286–$463 varies
Insertion perm ccm-d system pulse generator only (0916T) $70,706 $70,706 3.0×
Insj perm ccm-d sys 1 transvns lead only (0917T) $26,069 $26,069 2.9×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $26,069 $26,069 2.9×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $100,994 $100,994 3.0×
Intens behave ther cardio dx (G0446) $119 $119 3.0×
Ire Abltj 1+Tum Organ Perq (0600T)
likely a partial charge, not the full procedure
$2,205 $2,205 0.2×
Mra w/cont, abd (C8900) $3,910 $3,910 10.5×
Mra w/cont, chest (C8909) $5,068 $5,068 13.6×
Mra w/cont, lwr ext (C8912) $3,577 $3,577 9.6×
Mra w/cont, pelvis (C8918) $3,351 $3,351 9.0×
Mra w/o cont, abd (C8901) $3,434 $3,434 13.4×
Mra w/o cont, chest (C8910) $4,197 $4,197 16.4×
Mra w/o cont, lwr ext (C8913) $4,830 $4,830 18.9×
Mra w/o cont, pelvis (C8919) $2,934 $2,934 11.5×
Mra w/o fol w/cont, abd (C8902) $6,785 $6,785 18.1×
Mra w/o fol w/cont, chest (C8911) $6,869 $6,869 18.4×
Mra w/o fol w/cont, lwr ext (C8914) $6,869 $6,869 18.4×
Mra w/o fol w/cont, pelvis (C8920) $7,905 $7,905 21.1×
Mra, w/dye, spinal canal (C8931) $2,409 $2,409 6.4×
Mra, w/dye, upper extremity (C8934) $3,276 $3,276 8.8×
Mra, w/o dye, spinal canal (C8932) $1,049 $1,049 4.1×
Mra, w/o dye, upper extr (C8935) $6,475 $6,475 25.3×
Mra, w/o&w/dye, spinal canal (C8933) $2,826 $2,826 7.6×
Mra, w/o&w/dye, upper extr (C8936) $3,276 $3,276 8.8×
Mri w/cont, breast, bi (C8906) $2,791 $2,791 7.5×
Mri w/cont, breast, uni (C8903) $1,491 $1,491 7.9×
Mri w/o fol w/cont, breast, (C8908)
range across 2 matching MRF lines
$4,745–$6,738 $4,745–$6,738 varies
Mri w/o fol w/cont, brst, un (C8905) $2,432 $2,432 6.5×
Mrs discogenic pain acquisj single voxel data (0609T) $276 $276 1.1×
Mrs discogenic pain algorthmic alys bmrk data (0611T) $110 $110 0.4×
Ncntc R-T Fluor Wnd Img 1st (0598T) $441 $441 1.9×
Njx platelet plasma (0232T) $502 $502 1.0×
No pt prsnt train initial 30 (G0541) $75 $75 2.4×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$29–$215 $29–$215 varies
Off base opioid tx 70min (G2086) $227 $227 1.2×
Off base opioid tx, 60 m (G2087) $167 $167 0.9×
Ortho impl mvmt alys pair CT (0946T) $335 $335 3.0×
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T)
unusually low: confirm this is the full procedure
$3,308 $3,308 0.4×
Oth resp proc, group (G0239) $167 $167 4.2×
Oth resp proc, indiv (G0238) $125 $125 4.0×
Pathogen test for platelets (P9100) $127 $127 2.0×
Perc d-e cor revasc chro sin (C9607) $28,855 $28,855 1.5×
Perc d-e cor revasc t cabg s (C9604) $37,226 $37,226 3.0×
Perc d-e cor stent ather s (C9602) $25,516 $25,516 1.3×
Perc drug-el cor stent sing (C9600) $13,474 $13,474 1.1×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure
$1,433 $1,433 0.1×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T)
likely a partial charge, not the full procedure
$1,544 $1,544 0.1×
Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T)
likely a partial charge, not the full procedure
$1,544 $1,544 0.1×
Perq Sacral Augmt Bilat Inj (0201T) $21,431 $21,431 2.8×
Perq Sacral Augmt Unilat Inj (0200T) $21,431 $21,431 2.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,960 $17,960 1.5×
Place device/marker, non pro (C9728) $4,371 $4,371 2.9×
Post-coital mucous exam (Q0115) $49 $49 2.0×
Potassium hydroxide preps (Q0112) $75 $75 12.9×
Ppps, initial visit (G0438)
range across 2 matching MRF lines
$382–$475 $382–$475 varies
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$280–$326 $280–$326 varies
Prostate biopsy, any mthd (G0416) $1,026 $1,026 2.7×
Psa screening (G0103) $233 $233 12.1×
Relocation skin pocket implanted ccm-d pg (0925T) $5,762 $5,762 2.6×
Remot img sub by pt, non e/m (G2250) $56 $56 4.3×
Removal perm ccm-d system pulse generator only (0919T) $11,464 $11,464 2.9×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,948 $1,948 2.9×
Revasc intra lithotrip-ather (C9766) $39,114 $39,114 2.0×
Revasc intra lithotrip-stent (C9765) $39,114 $39,114 2.0×
Revasc intravasc lithotripsy (C9764) $24,439 $24,439 2.0×
Revasc lith-sten-ath tib/per (C9775) $39,114 $39,114 2.0×
Revasc lithotr-ather tib/per (C9774) $39,114 $39,114 2.0×
Revasc lithotr-stent tib/per (C9773) $39,114 $39,114 2.0×
Revasc lithotrip tibi/perone (C9772) $24,439 $24,439 2.0×
Revasc lithotrip-stent-ather (C9767) $39,114 $39,114 2.0×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $11,464 $11,464 2.9×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $11,464 $11,464 2.9×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $11,464 $11,464 2.9×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $70,706 $70,706 3.0×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T)
likely a partial charge, not the full procedure
$5,513 $5,513 0.2×
Scr c/v cyto,thinlayer,rescr (G0145) $310 $310 11.7×
Screen cerv/vag thin layer (G0123) $238 $238 11.7×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $10,131 $10,131 2.9×
Temp female intraurethral valve-pump 1st insj (0596T) $2,205 $2,205 3.0×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) $1,654 $1,654 2.2×
Therapeutic procd strg endur (G0237) $149 $149 4.8×
Tomosynthesis, mammo (G0279) $191 $191 15.1×
Trabeculostomy ab interno by laser (0621T) $4,410 $4,410 1.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $17,105 $17,105 2.8×
Transcatheter renal sympath denervation unilat (0338T) $11,885 $11,885 1.9×
Trauma respons w/hosp criti (G0390) $2,552 $2,552 1.8×
Trim nail(s) (G0127) $110 $110 1.7×
Trluml perip athrc abd aorta (0236T) $34,022 $34,022 2.8×
Trluml Perip Athrc Brchiocph (0237T) $34,022 $34,022 2.8×
Trluml Perip Athrc Iliac Art (0238T) $53,870 $53,870 2.7×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $13,688 $13,688 1.1×
Tte w or w/o contr, cont ecg (C8930) $2,945 $2,945 3.5×
Tte w or w/o fol w/cont, com (C8921) $1,264 $1,264 1.5×
Tte w or w/o fol w/cont, f/u (C8922) $2,370 $2,370 2.8×
Tte w or wo fol wcon,doppler (C8929) $2,717 $2,717 3.2×
Unsched dialysis esrd pt hos (G0257) $1,825 $1,825 2.5×
Visit esketamine 56m or less (G2082) $3,452 $3,452 3.1×
Visit esketamine, > 56m (G2083) $1,587 $1,587 0.9×
Visit to determ ldct elig (G0296)
range across 2 matching MRF lines
$154–$250 $154–$250 varies
Wet mounts/ w preparations (Q0111) $82 $82 4.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.