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 PATTERN ELECTRORETINOGRAPHY W/I&R
Cedar Rapids, IA
See all hospitals reporting CPT 0509T →Price type
St Luke's Methodist Hospital’s median price of $69 is 72% below the median hospital's median price ($243), higher than 13% of the 1,133 hospitals reporting CPT 0509T. 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, 20 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 | $48 | $45 | $20 | 44% | — | $19 – $68 |
| 2 | Molina medicare advantage fee schedule · both | $49 | $46 | $20 | 44% | — | $20 – $69 |
| 3 | Wellmark medicare advantage fee schedule · both | $49 | $46 | $20 | 44% | — | $20 – $69 |
| 4 | Humana medicare advantage fee schedule · both | $51 | $47 | $21 | 44% | — | $20 – $71 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $51 | $47 | $21 | 44% | — | $20 – $71 |
| 6 | Cigna commercial fee schedule · both | $64 | $60 | $26 | 44% | — | $25 – $90 |
| 7 | Wellmark commercial fee schedule · both | $66 | $61 | $27 | 45% | — | $25 – $91 |
| 8 | Wellmark hmo fee schedule · both | $66 | $61 | $27 | 45% | — | $25 – $91 |
| 9 | Wellmark ppo fee schedule · both | $78 | $71 | $32 | 45% | — | $29 – $107 |
| 10 | UnitedHealthcare hmo fee schedule · both | $138 | $130 | $57 | 43% | — | $57 – $195 |
| 11 | UnitedHealthcare ppo fee schedule · both | $138 | $130 | $57 | 43% | — | $57 – $195 |
| 12 | Aetna medicare advantage case rate · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 13 | Molina medicare advantage case rate · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 14 | Wellmark medicare advantage case rate · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 15 | Humana medicare advantage case rate · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 16 | UnitedHealthcare medicare advantage case rate · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 17 | Aetna hmo fee schedule · outpatient | $608 | $608 | — | — | — | $608 – $608 |
| 18 | Aetna ppo fee schedule · outpatient | $632 | $632 | — | — | — | $632 – $632 |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
Last updated: Jan 28, 2026
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