Drainage of the tear sac 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 SAC (BILAT)

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 $370 is 85% below the median hospital's median price ($2.4k), higher than 15% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68420 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	$150	$150	—	—	—	$150 – $150
2	Molina medicare advantage fee schedule · both	$153	$153	—	—	—	$153 – $153
3	Wellmark medicare advantage fee schedule · both	$153	$153	—	—	—	$153 – $153
4	Humana medicare advantage fee schedule · both	$158	$158	—	—	—	$158 – $158
5	UnitedHealthcare medicare advantage fee schedule · both	$158	$158	—	—	—	$158 – $158
6	Wellmark commercial fee schedule · both	$312	$312	—	—	—	$312 – $312
7	Wellmark hmo fee schedule · both	$312	$312	—	—	—	$312 – $312
8	Wellmark ppo fee schedule · both	$367	$367	—	—	—	$367 – $367
9	Aetna hmo fee schedule · both	$370	$370	—	—	—	$370 – $370
10	Cigna commercial fee schedule · both	$402	$402	—	—	—	$402 – $402
11	Aetna ppo fee schedule · both	$449	$449	—	—	—	$449 – $449
12	UnitedHealthcare hmo fee schedule · both	$521	$521	—	—	—	$521 – $521
13	UnitedHealthcare ppo fee schedule · both	$521	$521	—	—	—	$521 – $521
14	Aetna medicare advantage case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
15	Molina medicare advantage case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
16	Wellmark medicare advantage case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
17	Humana medicare advantage case rate · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
18	UnitedHealthcare medicare advantage case rate · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
19	Aetna hmo fee schedule · outpatient	$4.6k	$4.6k	—	—	—	$4.6k – $4.6k
20	Aetna ppo fee schedule · outpatient	$4.7k	$4.7k	—	—	—	$4.7k – $4.7k
21	UnitedHealthcare hmo fee schedule · outpatient	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k
22	UnitedHealthcare ppo fee schedule · outpatient	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k

Last updated: Jan 28, 2026

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