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 OPEN RX RADIO-ULNA DISLOCATION
Cedar Rapids, IA
See all hospitals reporting CPT 25676 →Price type
St Luke's Methodist Hospital’s median price of $1.5k is 78% below the median hospital's median price ($6.8k), higher than 18% of the 1,578 hospitals reporting CPT 25676. 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 | $574 | $574 | — | — | — | $574 – $574 |
| 2 | Molina medicare advantage fee schedule · both | $586 | $586 | — | — | — | $586 – $586 |
| 3 | Wellmark medicare advantage fee schedule · both | $586 | $586 | — | — | — | $586 – $586 |
| 4 | Humana medicare advantage fee schedule · both | $603 | $603 | — | — | — | $603 – $603 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $603 | $603 | — | — | — | $603 – $603 |
| 6 | Wellmark commercial fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Wellmark hmo fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Aetna hmo fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Wellmark ppo fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Cigna commercial fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Aetna ppo fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | UnitedHealthcare hmo fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | UnitedHealthcare ppo fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Aetna medicare advantage case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 15 | Molina medicare advantage case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 16 | Wellmark medicare advantage case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 17 | Humana medicare advantage case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 19 | Aetna hmo fee schedule · outpatient | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 20 | Aetna ppo fee schedule · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
Last updated: Jan 28, 2026
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