Tear duct foreign body or stone removal 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 REMV F.B./STONE IN TEAR DUCT

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 $476 is 6% above the median hospital's median price ($447), higher than 52% of the 1,524 hospitals reporting CPT 68530. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68530 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	$229	$229	—	—	—	$229 – $229
2	Molina medicare advantage fee schedule · both	$234	$234	—	—	—	$234 – $234
3	Wellmark medicare advantage fee schedule · both	$234	$234	—	—	—	$234 – $234
4	Humana medicare advantage fee schedule · both	$241	$241	—	—	—	$241 – $241
5	UnitedHealthcare medicare advantage fee schedule · both	$241	$241	—	—	—	$241 – $241
6	Aetna medicare advantage case rate · outpatient	$283	$283	—	—	—	$283 – $283
7	Molina medicare advantage case rate · outpatient	$283	$283	—	—	—	$283 – $283
8	Wellmark medicare advantage case rate · outpatient	$283	$283	—	—	—	$283 – $283
9	Humana medicare advantage case rate · outpatient	$291	$291	—	—	—	$291 – $291
10	UnitedHealthcare medicare advantage case rate · outpatient	$291	$291	—	—	—	$291 – $291
11	Wellmark commercial fee schedule · both	$476	$476	—	—	—	$476 – $476
12	Wellmark hmo fee schedule · both	$476	$476	—	—	—	$476 – $476
13	Wellmark ppo fee schedule · both	$560	$560	—	—	—	$560 – $560
14	Aetna hmo fee schedule · both	$563	$563	—	—	—	$563 – $563
15	Aetna hmo fee schedule · outpatient	$583	$583	—	—	—	$583 – $583
16	Aetna ppo fee schedule · outpatient	$607	$607	—	—	—	$607 – $607
17	Cigna commercial fee schedule · both	$613	$613	—	—	—	$613 – $613
18	Aetna ppo fee schedule · both	$685	$685	—	—	—	$685 – $685
19	UnitedHealthcare hmo fee schedule · outpatient	$744	$744	—	—	—	$744 – $744
20	UnitedHealthcare ppo fee schedule · outpatient	$744	$744	—	—	—	$744 – $744
21	UnitedHealthcare hmo fee schedule · both	$795	$795	—	—	—	$795 – $795
22	UnitedHealthcare ppo fee schedule · both	$795	$795	—	—	—	$795 – $795

Last updated: Jan 28, 2026

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