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
QUAN US TIS CHARAC W/O DX US
Cedar Rapids, IA
See all hospitals reporting CPT 0689T →Price type
St Luke's Methodist Hospital’s median price of $86 is 22% below the median hospital's median price ($110), higher than 13% of the 1,252 hospitals reporting CPT 0689T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 9 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 | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Molina medicare advantage case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Wellmark medicare advantage case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 4 | Humana medicare advantage case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 6 | Aetna hmo fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 7 | Aetna ppo fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 8 | UnitedHealthcare hmo fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 9 | UnitedHealthcare ppo fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
Last updated: Jan 28, 2026
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