Drainage of eyelid lining 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 INCISE/DRAIN CONJUNCTIVA

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 $243 is 77% below the median hospital's median price ($1.1k), higher than 16% of the 1,493 hospitals reporting CPT 68020. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68020 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	$99	$99	—	—	—	$99 – $99
2	Molina medicare advantage fee schedule · both	$101	$101	—	—	—	$101 – $101
3	Wellmark medicare advantage fee schedule · both	$101	$101	—	—	—	$101 – $101
4	Humana medicare advantage fee schedule · both	$104	$104	—	—	—	$104 – $104
5	UnitedHealthcare medicare advantage fee schedule · both	$104	$104	—	—	—	$104 – $104
6	Wellmark commercial fee schedule · both	$207	$207	—	—	—	$207 – $207
7	Wellmark hmo fee schedule · both	$207	$207	—	—	—	$207 – $207
8	Aetna hmo fee schedule · both	$241	$241	—	—	—	$241 – $241
9	Wellmark ppo fee schedule · both	$243	$243	—	—	—	$243 – $243
10	Cigna commercial fee schedule · both	$267	$267	—	—	—	$267 – $267
11	Aetna ppo fee schedule · both	$295	$295	—	—	—	$295 – $295
12	UnitedHealthcare hmo fee schedule · both	$342	$342	—	—	—	$342 – $342
13	UnitedHealthcare ppo fee schedule · both	$342	$342	—	—	—	$342 – $342
14	Aetna medicare advantage case rate · outpatient	$916	$916	—	—	—	$916 – $916
15	Molina medicare advantage case rate · outpatient	$916	$916	—	—	—	$916 – $916
16	Wellmark medicare advantage case rate · outpatient	$916	$916	—	—	—	$916 – $916
17	Humana medicare advantage case rate · outpatient	$943	$943	—	—	—	$943 – $943
18	UnitedHealthcare medicare advantage case rate · outpatient	$943	$943	—	—	—	$943 – $943
19	Aetna hmo fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
20	Aetna ppo fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
21	UnitedHealthcare hmo fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
22	UnitedHealthcare ppo fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k

Last updated: Jan 28, 2026

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