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 FILL CONTOUR DEFCT >10CC
Cedar Rapids, IA
See all hospitals reporting CPT 11954 →Price type
St Luke's Methodist Hospital’s median price of $353 is 55% below the median hospital's median price ($777), higher than 20% of the 1,494 hospitals reporting CPT 11954. 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, 22 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 | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Molina medicare advantage fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Wellmark medicare advantage fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 4 | Humana medicare advantage fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Wellmark commercial fee schedule · both | $200 | $200 | — | — | — | $200 – $200 |
| 7 | Wellmark hmo fee schedule · both | $200 | $200 | — | — | — | $200 – $200 |
| 8 | Wellmark ppo fee schedule · both | $235 | $235 | — | — | — | $235 – $235 |
| 9 | Aetna hmo fee schedule · both | $256 | $256 | — | — | — | $256 – $256 |
| 10 | Cigna commercial fee schedule · both | $264 | $264 | — | — | — | $264 – $264 |
| 11 | Aetna ppo fee schedule · both | $311 | $311 | — | — | — | $311 – $311 |
| 12 | UnitedHealthcare hmo fee schedule · both | $353 | $353 | — | — | — | $353 – $353 |
| 13 | UnitedHealthcare ppo fee schedule · both | $353 | $353 | — | — | — | $353 – $353 |
| 14 | Aetna medicare advantage case rate · outpatient | $579 | $579 | — | — | — | $579 – $579 |
| 15 | Molina medicare advantage case rate · outpatient | $579 | $579 | — | — | — | $579 – $579 |
| 16 | Wellmark medicare advantage case rate · outpatient | $579 | $579 | — | — | — | $579 – $579 |
| 17 | Humana medicare advantage case rate · outpatient | $596 | $596 | — | — | — | $596 – $596 |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $596 | $596 | — | — | — | $596 – $596 |
| 19 | Aetna hmo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jan 28, 2026
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