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
HC EXC BEN LES T/A/L 0.6-1.0 CM
Des Moines, IA
See all hospitals reporting CPT 11401 →Price type
Central Iowa Hospital Corporation’s median price of $289 is 43% below the median hospital's median price ($507), higher than 17% of the 2,297 hospitals reporting CPT 11401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 23 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 | Aetna medicare advantage fee schedule · both | $96.04 | $96.04 | $96.04 – $96.04 |
| 2 | Molina medicare advantage fee schedule · both | $97.96 | $97.96 | $97.96 – $97.96 |
| 3 | Wellmark medicare advantage fee schedule · both | $97.96 | $97.96 | $97.96 – $97.96 |
| 4 | Humana medicare advantage fee schedule · both | $100.84 | $100.84 | $100.84 – $100.84 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $100.84 | $100.84 | $100.84 – $100.84 |
| 6 | Wellmark commercial fee schedule · both | $190.30 | $190.30 | $190.30 – $190.30 |
| 7 | Wellmark hmo fee schedule · both | $190.30 | $190.30 | $190.30 – $190.30 |
| 8 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $192.49 | $192.49 | $181.41 – $203.57 |
| 9 | Wellmark ppo fee schedule · both | $223.90 | $223.90 | $223.90 – $223.90 |
| 10 | Aetna hmo fee schedule · both | $229.19 | $229.19 | $229.19 – $229.19 |
| 11 | Cigna commercial fee schedule · both | $256.04 | $256.04 | $256.04 – $256.04 |
| 12 | Aetna ppo fee schedule · both | $278.78 | $278.78 | $278.78 – $278.78 |
| 13 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $299.81 | $299.81 | $299.81 – $299.81 |
| 14 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $299.81 | $299.81 | $299.81 – $299.81 |
| 15 | UnitedHealthcare hmo fee schedule · both | $320.87 | $320.87 | $320.87 – $320.87 |
| 16 | UnitedHealthcare ppo fee schedule · both | $320.87 | $320.87 | $320.87 – $320.87 |
| 17 | Aetna medicare advantage case rate · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 18 | Molina medicare advantage case rate · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 19 | UnitedHealthcare medicare advantage case rate · outpatient | $419.51 | $419.51 | $419.51 – $419.51 |
| 20 | Aetna hmo fee schedule · outpatient | $958.85 | $958.85 | $958.85 – $958.85 |
| 21 | Aetna ppo fee schedule · outpatient | $999.17 | $999.17 | $999.17 – $999.17 |
| 22 | UnitedHealthcare hmo fee schedule · outpatient | $1,026 | $1,026 | $1,026 – $1,026 |
| 23 | UnitedHealthcare ppo fee schedule · outpatient | $1,026 | $1,026 | $1,026 – $1,026 |
Last updated: Jan 28, 2026
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