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
REV/RPLCT HPGLSL NSTM ARY PG
Cedar Rapids, IA
See all hospitals reporting CPT 64583 →Price type
St Luke's Methodist Hospital’s median price of $6.8k is 42% below the median hospital's median price ($11.7k), higher than 27% of the 1,360 hospitals reporting CPT 64583. 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, 20 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 | $779 | $779 | — | — | — | $779 – $779 |
| 2 | Molina medicare advantage fee schedule · both | $795 | $795 | — | — | — | $795 – $795 |
| 3 | Wellmark medicare advantage fee schedule · both | $795 | $795 | — | — | — | $795 – $795 |
| 4 | Humana medicare advantage fee schedule · both | $818 | $818 | — | — | — | $818 – $818 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $818 | $818 | — | — | — | $818 – $818 |
| 6 | Wellmark commercial fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Wellmark hmo fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Wellmark ppo fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | Cigna commercial fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | UnitedHealthcare hmo fee schedule · both | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 11 | UnitedHealthcare ppo fee schedule · both | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | Aetna medicare advantage case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 13 | Molina medicare advantage case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 14 | Wellmark medicare advantage case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 15 | Humana medicare advantage case rate · outpatient | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 16 | UnitedHealthcare medicare advantage case rate · outpatient | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 17 | Aetna hmo fee schedule · outpatient | $24.3k | $24.3k | — | — | — | $24.3k – $24.3k |
| 18 | Aetna ppo fee schedule · outpatient | $25.3k | $25.3k | — | — | — | $25.3k – $25.3k |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $31.0k | $31.0k | — | — | — | $31.0k – $31.0k |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $31.0k | $31.0k | — | — | — | $31.0k – $31.0k |
Last updated: Jan 28, 2026
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