Superficial shoulder soft tissue biopsy at St Luke's Methodist Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR EXPLOR INFECT A-C/S-C JT (BILAT)

Cedar Rapids, IA

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $370 is 79% below the median hospital's median price ($1.7k), higher than 17% of the 1,591 hospitals reporting CPT 23065. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 23065 at St Luke's Methodist Hospital

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	$144	$144	—	—	—	$144 – $144
2	Molina medicare advantage fee schedule · both	$147	$147	—	—	—	$147 – $147
3	Wellmark medicare advantage fee schedule · both	$147	$147	—	—	—	$147 – $147
4	Humana medicare advantage fee schedule · both	$151	$151	—	—	—	$151 – $151
5	UnitedHealthcare medicare advantage fee schedule · both	$151	$151	—	—	—	$151 – $151
6	Wellmark commercial fee schedule · both	$310	$310	—	—	—	$310 – $310
7	Wellmark hmo fee schedule · both	$310	$310	—	—	—	$310 – $310
8	Wellmark ppo fee schedule · both	$365	$365	—	—	—	$365 – $365
9	Aetna hmo fee schedule · both	$370	$370	—	—	—	$370 – $370
10	Cigna commercial fee schedule · both	$386	$386	—	—	—	$386 – $386
11	Aetna ppo fee schedule · both	$450	$450	—	—	—	$450 – $450
12	UnitedHealthcare hmo fee schedule · both	$509	$509	—	—	—	$509 – $509
13	UnitedHealthcare ppo fee schedule · both	$509	$509	—	—	—	$509 – $509
14	Aetna medicare advantage case rate · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
15	Molina medicare advantage case rate · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
16	Wellmark medicare advantage case rate · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
17	Humana medicare advantage case rate · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
18	UnitedHealthcare medicare advantage case rate · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
19	Aetna hmo fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
20	Aetna ppo fee schedule · outpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
21	UnitedHealthcare hmo fee schedule · outpatient	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
22	UnitedHealthcare ppo fee schedule · outpatient	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k

Last updated: Jan 28, 2026

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