Insertion of prostate urethral stent 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 INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT

Cedar Rapids, IA

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Pricing by billing methodology

Price type

How this price compares nationally

St Luke's Methodist Hospital’s median price of $262 is 88% below the median hospital's median price ($2.1k), higher than 9% of the 1,489 hospitals reporting CPT 53855. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 53855 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	$73	$73	—	—	—	$73 – $73
2	Molina medicare advantage fee schedule · both	$75	$75	—	—	—	$75 – $75
3	Wellmark medicare advantage fee schedule · both	$75	$75	—	—	—	$75 – $75
4	Humana medicare advantage fee schedule · both	$77	$77	—	—	—	$77 – $77
5	UnitedHealthcare medicare advantage fee schedule · both	$77	$77	—	—	—	$77 – $77
6	Wellmark commercial fee schedule · both	$156	$156	—	—	—	$156 – $156
7	Wellmark hmo fee schedule · both	$156	$156	—	—	—	$156 – $156
8	Wellmark ppo fee schedule · both	$184	$184	—	—	—	$184 – $184
9	Aetna hmo fee schedule · both	$184	$184	—	—	—	$184 – $184
10	Cigna commercial fee schedule · both	$196	$196	—	—	—	$196 – $196
11	Aetna ppo fee schedule · both	$222	$222	—	—	—	$222 – $222
12	UnitedHealthcare hmo fee schedule · both	$262	$262	—	—	—	$262 – $262
13	UnitedHealthcare ppo fee schedule · both	$262	$262	—	—	—	$262 – $262
14	Aetna medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
15	Molina medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
16	Wellmark medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
17	Humana medicare advantage case rate · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
18	UnitedHealthcare medicare advantage case rate · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
19	Aetna hmo fee schedule · outpatient	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
20	Aetna ppo fee schedule · outpatient	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
21	UnitedHealthcare hmo fee schedule · outpatient	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k
22	UnitedHealthcare ppo fee schedule · outpatient	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k

Last updated: Jan 28, 2026

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