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 ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA
Cedar Rapids, IA
See all hospitals reporting CPT 28890 →Price type
St Luke's Methodist Hospital’s median price of $511 is 74% below the median hospital's median price ($1.9k), higher than 14% of the 1,470 hospitals reporting CPT 28890. 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 | $206 | $206 | — | — | — | $206 – $206 |
| 2 | Molina medicare advantage fee schedule · both | $210 | $210 | — | — | — | $210 – $210 |
| 3 | Wellmark medicare advantage fee schedule · both | $210 | $210 | — | — | — | $210 – $210 |
| 4 | Humana medicare advantage fee schedule · both | $216 | $216 | — | — | — | $216 – $216 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $216 | $216 | — | — | — | $216 – $216 |
| 6 | Wellmark commercial fee schedule · both | $435 | $435 | — | — | — | $435 – $435 |
| 7 | Wellmark hmo fee schedule · both | $435 | $435 | — | — | — | $435 – $435 |
| 8 | Aetna hmo fee schedule · both | $501 | $501 | — | — | — | $501 – $501 |
| 9 | Wellmark ppo fee schedule · both | $511 | $511 | — | — | — | $511 – $511 |
| 10 | Cigna commercial fee schedule · both | $550 | $550 | — | — | — | $550 – $550 |
| 11 | Aetna ppo fee schedule · both | $610 | $610 | — | — | — | $610 – $610 |
| 12 | UnitedHealthcare hmo fee schedule · both | $701 | $701 | — | — | — | $701 – $701 |
| 13 | UnitedHealthcare ppo fee schedule · both | $701 | $701 | — | — | — | $701 – $701 |
| 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 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Aetna ppo fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 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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