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
DILAT IC VSPSM EA DIFF TER
Cedar Rapids, IA
See all hospitals reporting CPT 61642 →Price type
St Luke's Methodist Hospital’s median price of $821 is 74% below the median hospital's median price ($3.1k), higher than 21% of the 1,357 hospitals reporting CPT 61642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 | Wellmark commercial fee schedule · both | $632 | $632 | — | — | — | $632 – $632 |
| 2 | Wellmark hmo fee schedule · both | $632 | $632 | — | — | — | $632 – $632 |
| 3 | Wellmark ppo fee schedule · both | $743 | $743 | — | — | — | $743 – $743 |
| 4 | Cigna commercial fee schedule · both | $798 | $798 | — | — | — | $798 – $798 |
| 5 | Aetna hmo fee schedule · both | $970 | $970 | — | — | — | $970 – $970 |
| 6 | UnitedHealthcare hmo fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | UnitedHealthcare ppo fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Aetna ppo fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Jan 28, 2026
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