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
HC CISTERNOGRAM S&I
Cedar Rapids, IA
See all hospitals reporting CPT 70015 →Price type
St Luke's Methodist Hospital’s median price of $184 is 77% below the median hospital's median price ($790), higher than 16% of the 1,482 hospitals reporting CPT 70015. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | $95 | $98 | $39 | 40% | — | $52 – $147 |
| 2 | Molina medicare advantage fee schedule · both | $97 | $100 | $40 | 40% | — | $53 – $150 |
| 3 | Wellmark medicare advantage fee schedule · both | $97 | $100 | $40 | 40% | — | $53 – $150 |
| 4 | Humana medicare advantage fee schedule · both | $100 | $103 | $41 | 40% | — | $55 – $155 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $100 | $103 | $41 | 40% | — | $55 – $155 |
| 6 | UnitedHealthcare hmo fee schedule · both | $124 | $133 | $51 | 38% | — | $76 – $200 |
| 7 | UnitedHealthcare ppo fee schedule · both | $124 | $133 | $51 | 38% | — | $76 – $200 |
| 8 | Wellmark commercial fee schedule · both | $184 | $187 | $75 | 40% | — | $96 – $280 |
| 9 | Wellmark hmo fee schedule · both | $184 | $187 | $75 | 40% | — | $96 – $280 |
| 10 | Cigna commercial fee schedule · both | $207 | $212 | $85 | 40% | — | $110 – $318 |
| 11 | Wellmark ppo fee schedule · both | $217 | $220 | $89 | 40% | — | $113 – $330 |
| 12 | Aetna hmo fee schedule · both | $213 | $227 | $88 | 39% | — | $127 – $340 |
| 13 | Aetna ppo fee schedule · both | $251 | $265 | $103 | 39% | — | $147 – $398 |
| 14 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $577 | $577 | $33 | 6% | — | $544 – $610 |
| 15 | Aetna medicare advantage case rate · outpatient | $747 | $747 | — | — | — | $747 – $747 |
| 16 | Molina medicare advantage case rate · outpatient | $747 | $747 | — | — | — | $747 – $747 |
| 17 | Wellmark medicare advantage case rate · outpatient | $747 | $747 | — | — | — | $747 – $747 |
| 18 | Humana medicare advantage case rate · outpatient | $769 | $769 | — | — | — | $769 – $769 |
| 19 | UnitedHealthcare medicare advantage case rate · outpatient | $769 | $769 | — | — | — | $769 – $769 |
| 20 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $892 | $892 | — | — | — | $892 – $892 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $892 | $892 | — | — | — | $892 – $892 |
| 22 | Aetna hmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Aetna ppo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | UnitedHealthcare hmo fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | UnitedHealthcare ppo fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Jan 28, 2026
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