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 INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL
Cedar Rapids, IA
See all hospitals reporting CPT 22867 →Price type
St Luke's Methodist Hospital’s median price of $9.6k is 45% below the median hospital's median price ($17.2k), higher than 30% of the 1,484 hospitals reporting CPT 22867. 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 | $932 | $932 | — | — | — | $932 – $932 |
| 2 | Molina medicare advantage fee schedule · both | $951 | $951 | — | — | — | $951 – $951 |
| 3 | Wellmark medicare advantage fee schedule · both | $951 | $951 | — | — | — | $951 – $951 |
| 4 | Humana medicare advantage fee schedule · both | $979 | $979 | — | — | — | $979 – $979 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $979 | $979 | — | — | — | $979 – $979 |
| 6 | Wellmark commercial fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Wellmark hmo fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Wellmark ppo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Cigna commercial fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | UnitedHealthcare hmo fee schedule · both | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | UnitedHealthcare ppo fee schedule · both | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | Aetna medicare advantage case rate · outpatient | $17.4k | $17.4k | — | — | — | $17.4k – $17.4k |
| 13 | Molina medicare advantage case rate · outpatient | $17.4k | $17.4k | — | — | — | $17.4k – $17.4k |
| 14 | Wellmark medicare advantage case rate · outpatient | $17.4k | $17.4k | — | — | — | $17.4k – $17.4k |
| 15 | Humana medicare advantage case rate · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 16 | UnitedHealthcare medicare advantage case rate · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 17 | Aetna hmo fee schedule · outpatient | $35.9k | $35.9k | — | — | — | $35.9k – $35.9k |
| 18 | Aetna ppo fee schedule · outpatient | $37.3k | $37.3k | — | — | — | $37.3k – $37.3k |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $45.8k | $45.8k | — | — | — | $45.8k – $45.8k |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $45.8k | $45.8k | — | — | — | $45.8k – $45.8k |
Last updated: Jan 28, 2026
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