Optical coherence tomography of middle ear, one side at St Luke's Methodist Hospital

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OCT MID EAR I&R UNILATERAL

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $37 is 11% below the median hospital's median price ($42), higher than 19% of the 1,040 hospitals reporting CPT 0485T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0485T at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 12 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	$13	$15	$5	36%	—	$9 – $22
2	UnitedHealthcare hmo fee schedule · both	$27	$31	$12	37%	—	$19 – $47
3	UnitedHealthcare ppo fee schedule · both	$27	$31	$12	37%	—	$19 – $47
4	Aetna medicare advantage case rate · outpatient	$37	$37	—	—	—	$37 – $37
5	Molina medicare advantage case rate · outpatient	$37	$37	—	—	—	$37 – $37
6	Wellmark medicare advantage case rate · outpatient	$37	$37	—	—	—	$37 – $37
7	Humana medicare advantage case rate · outpatient	$38	$38	—	—	—	$38 – $38
8	UnitedHealthcare medicare advantage case rate · outpatient	$38	$38	—	—	—	$38 – $38
9	Aetna hmo fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
10	Aetna ppo fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
11	UnitedHealthcare hmo fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
12	UnitedHealthcare ppo fee schedule · outpatient	$98	$98	—	—	—	$98 – $98

Last updated: Jan 28, 2026

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