Drainage of a mouth lesion 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

HC DR ABSC CYST HEMAT-MOUTH; COMPLICATED

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 $482 is 33% below the median hospital's median price ($719), higher than 18% of the 1,637 hospitals reporting CPT 40801. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 40801 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 7 payers, 25 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	$184	$184	—	—	—	$184 – $184
2	Molina medicare advantage fee schedule · both	$188	$188	—	—	—	$188 – $188
3	Wellmark medicare advantage fee schedule · both	$188	$188	—	—	—	$188 – $188
4	Humana medicare advantage fee schedule · both	$193	$193	—	—	—	$193 – $193
5	UnitedHealthcare medicare advantage fee schedule · both	$193	$193	—	—	—	$193 – $193
6	Wellmark commercial fee schedule · both	$393	$393	—	—	—	$393 – $393
7	Wellmark hmo fee schedule · both	$393	$393	—	—	—	$393 – $393
8	Medica commercial percent of total billed charges · outpatientfrom % of charges	$454	$454	$26	6%	—	$428 – $481
9	Wellmark ppo fee schedule · both	$462	$462	—	—	—	$462 – $462
10	Aetna medicare advantage case rate · outpatient	$482	$482	—	—	—	$482 – $482
11	Molina medicare advantage case rate · outpatient	$482	$482	—	—	—	$482 – $482
12	Wellmark medicare advantage case rate · outpatient	$482	$482	—	—	—	$482 – $482
13	Cigna commercial fee schedule · both	$483	$483	—	—	—	$483 – $483
14	Humana medicare advantage case rate · outpatient	$496	$496	—	—	—	$496 – $496
15	UnitedHealthcare medicare advantage case rate · outpatient	$496	$496	—	—	—	$496 – $496
16	Aetna hmo fee schedule · both	$505	$505	—	—	—	$505 – $505
17	Aetna ppo fee schedule · both	$615	$615	—	—	—	$615 – $615
18	UnitedHealthcare hmo fee schedule · both	$649	$649	—	—	—	$649 – $649
19	UnitedHealthcare ppo fee schedule · both	$649	$649	—	—	—	$649 – $649
20	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$703	$703	—	—	—	$703 – $703
21	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$703	$703	—	—	—	$703 – $703
22	Aetna hmo fee schedule · outpatient	$994	$994	—	—	—	$994 – $994
23	Aetna ppo fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	UnitedHealthcare hmo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	UnitedHealthcare ppo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Last updated: Jan 28, 2026

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