Lacrimal gland incision and drainage 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 TEAR GLAND

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 $292 is 73% below the median hospital's median price ($1.1k), higher than 12% of the 1,413 hospitals reporting CPT 68400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68400 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	$119	$119	—	—	—	$119 – $119
2	Molina medicare advantage fee schedule · both	$121	$121	—	—	—	$121 – $121
3	Wellmark medicare advantage fee schedule · both	$121	$121	—	—	—	$121 – $121
4	Humana medicare advantage fee schedule · both	$125	$125	—	—	—	$125 – $125
5	UnitedHealthcare medicare advantage fee schedule · both	$125	$125	—	—	—	$125 – $125
6	Wellmark commercial fee schedule · both	$248	$248	—	—	—	$248 – $248
7	Wellmark hmo fee schedule · both	$248	$248	—	—	—	$248 – $248
8	Aetna hmo fee schedule · both	$290	$290	—	—	—	$290 – $290
9	Wellmark ppo fee schedule · both	$292	$292	—	—	—	$292 – $292
10	Cigna commercial fee schedule · both	$317	$317	—	—	—	$317 – $317
11	Aetna ppo fee schedule · both	$353	$353	—	—	—	$353 – $353
12	UnitedHealthcare hmo fee schedule · both	$407	$407	—	—	—	$407 – $407
13	UnitedHealthcare ppo fee schedule · both	$407	$407	—	—	—	$407 – $407
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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