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
PR INJECTION FOR TEAR SAC X-RAY (BILAT)
Cedar Rapids, IA
See all hospitals reporting CPT 68850 →Price type
St Luke's Methodist Hospital’s median price of $97 is 81% below the median hospital's median price ($512), higher than 25% of the 1,246 hospitals reporting CPT 68850. 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, 13 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 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Molina medicare advantage fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Wellmark medicare advantage fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Humana medicare advantage fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Wellmark commercial fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Wellmark hmo fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Wellmark ppo fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 9 | Aetna hmo fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Cigna commercial fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
| 11 | Aetna ppo fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 12 | UnitedHealthcare hmo fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 13 | UnitedHealthcare ppo fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
Last updated: Jan 28, 2026
See Tear duct X-ray contrast injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.