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
PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
Des Moines, IA
See all hospitals reporting CPT 0101T →Price type
Central Iowa Hospital Corporation’s median price of $252 is 32% below the median hospital's median price ($372), higher than 26% of the 1,279 hospitals reporting CPT 0101T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 | Cigna commercial fee schedule · both | $211.63 | $211.63 | $211.63 – $211.63 |
| 2 | Aetna medicare advantage fee schedule · both | $223.04 | $223.04 | $223.04 – $223.04 |
| 3 | Molina medicare advantage fee schedule · both | $227.50 | $227.50 | $227.50 – $227.50 |
| 4 | Wellmark medicare advantage fee schedule · both | $227.50 | $227.50 | $227.50 – $227.50 |
| 5 | Humana medicare advantage fee schedule · both | $234.19 | $234.19 | $234.19 – $234.19 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $234.19 | $234.19 | $234.19 – $234.19 |
| 7 | Aetna medicare advantage case rate · outpatient | $244.68 | $244.68 | $244.68 – $244.68 |
| 8 | Molina medicare advantage case rate · outpatient | $244.68 | $244.68 | $244.68 – $244.68 |
| 9 | UnitedHealthcare medicare advantage case rate · outpatient | $251.87 | $251.87 | $251.87 – $251.87 |
| 10 | Aetna hmo fee schedule · outpatient | $575.70 | $575.70 | $575.70 – $575.70 |
| 11 | Aetna ppo fee schedule · outpatient | $599.91 | $599.91 | $599.91 – $599.91 |
| 12 | UnitedHealthcare hmo fee schedule · outpatient | $616.06 | $616.06 | $616.06 – $616.06 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $616.06 | $616.06 | $616.06 – $616.06 |
| 14 | UnitedHealthcare hmo fee schedule · both | $681.98 | $681.98 | $681.98 – $681.98 |
| 15 | UnitedHealthcare ppo fee schedule · both | $681.98 | $681.98 | $681.98 – $681.98 |
Last updated: Jan 28, 2026
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