Tear duct X-ray imaging with radiologist interpretation 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 X-RAY TEAR DUCT (TC)

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 $126 is 50% below the median hospital's median price ($254), higher than 17% of the 1,392 hospitals reporting CPT 70170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70170 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	$31	$26	$9	35%	—	$13 – $33
2	Molina medicare advantage fee schedule · both	$32	$26	$9	35%	—	$14 – $34
3	Wellmark medicare advantage fee schedule · both	$32	$26	$9	35%	—	$14 – $34
4	Humana medicare advantage fee schedule · both	$33	$27	$9	35%	—	$14 – $35
5	UnitedHealthcare medicare advantage fee schedule · both	$33	$27	$9	35%	—	$14 – $35
6	Cigna commercial fee schedule · both	$28	$28	—	—	—	$28 – $28
7	UnitedHealthcare hmo fee schedule · both	$275	$196	$125	64%	—	$19 – $294
8	UnitedHealthcare ppo fee schedule · both	$275	$196	$125	64%	—	$19 – $294
9	Aetna medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
10	Molina medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
11	Wellmark medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
12	Humana medicare advantage case rate · outpatient	$235	$235	—	—	—	$235 – $235
13	UnitedHealthcare medicare advantage case rate · outpatient	$235	$235	—	—	—	$235 – $235
14	Wellmark commercial fee schedule · both	$409	$289	$187	65%	—	$25 – $434
15	Wellmark hmo fee schedule · both	$409	$289	$187	65%	—	$25 – $434
16	Wellmark ppo fee schedule · both	$482	$340	$221	65%	—	$29 – $511
17	Aetna hmo fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
18	Aetna ppo fee schedule · outpatient	$491	$491	—	—	—	$491 – $491
19	UnitedHealthcare hmo fee schedule · outpatient	$602	$602	—	—	—	$602 – $602
20	UnitedHealthcare ppo fee schedule · outpatient	$602	$602	—	—	—	$602 – $602
21	Aetna hmo fee schedule · both	$869	$602	$401	67%	—	$35 – $903
22	Aetna ppo fee schedule · both	$1.0k	$718	$480	67%	—	$40 – $1.1k

Last updated: Jan 28, 2026

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