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
OPTX PALATAL/MAX FX COMP
Cedar Rapids, IA
See all hospitals reporting CPT 21423 →Price type
St Luke's Methodist Hospital’s median price of $1.5k is 74% below the median hospital's median price ($5.9k), higher than 22% of the 1,405 hospitals reporting CPT 21423. 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, 15 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 | $712 | $712 | — | — | — | $712 – $712 |
| 2 | Molina medicare advantage fee schedule · both | $727 | $727 | — | — | — | $727 – $727 |
| 3 | Wellmark medicare advantage fee schedule · both | $727 | $727 | — | — | — | $727 – $727 |
| 4 | Humana medicare advantage fee schedule · both | $748 | $748 | — | — | — | $748 – $748 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $748 | $748 | — | — | — | $748 – $748 |
| 6 | Wellmark commercial fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Wellmark hmo fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Aetna hmo fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Wellmark ppo fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Cigna commercial fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Aetna ppo fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | UnitedHealthcare hmo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | UnitedHealthcare ppo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Jan 28, 2026
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