Middle ear optical coherence tomography imaging, both ears 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 BILATERAL

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $47 is 7% above the median hospital's median price ($45), higher than 55% of the 1,029 hospitals reporting CPT 0486T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0486T 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	Aetna medicare advantage case rate · outpatient	$37	$37	—	—	—	$37 – $37
2	Molina medicare advantage case rate · outpatient	$37	$37	—	—	—	$37 – $37
3	Wellmark medicare advantage case rate · outpatient	$37	$37	—	—	—	$37 – $37
4	Humana medicare advantage case rate · outpatient	$38	$38	—	—	—	$38 – $38
5	UnitedHealthcare medicare advantage case rate · outpatient	$38	$38	—	—	—	$38 – $38
6	Cigna commercial fee schedule · both	$41	$46	$17	37%	—	$28 – $69
7	UnitedHealthcare hmo fee schedule · both	$54	$61	$23	37%	—	$38 – $92
8	UnitedHealthcare ppo fee schedule · both	$54	$61	$23	37%	—	$38 – $92
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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