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 CINE/VIDEORADIOLOGY,EXC WHERE SPEC INCL (TC)
Cedar Rapids, IA
See all hospitals reporting CPT 76120 →Price type
St Luke's Methodist Hospital’s median price of $102 is 25% below the median hospital's median price ($135), higher than 19% of the 1,489 hospitals reporting CPT 76120. 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $80 | $65 | $35 | 53% | — | $17 – $98 |
| 2 | Molina medicare advantage fee schedule · both | $82 | $67 | $35 | 53% | — | $18 – $100 |
| 3 | Wellmark medicare advantage fee schedule · both | $82 | $67 | $35 | 53% | — | $18 – $100 |
| 4 | Humana medicare advantage fee schedule · both | $85 | $68 | $36 | 53% | — | $18 – $103 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $85 | $68 | $36 | 53% | — | $18 – $103 |
| 6 | UnitedHealthcare hmo fee schedule · both | $107 | $87 | $46 | 53% | — | $24 – $131 |
| 7 | UnitedHealthcare ppo fee schedule · both | $107 | $87 | $46 | 53% | — | $24 – $131 |
| 8 | Aetna medicare advantage case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Molina medicare advantage case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 10 | Wellmark medicare advantage case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 11 | Humana medicare advantage case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Wellmark commercial fee schedule · both | $156 | $125 | $67 | 54% | — | $32 – $188 |
| 14 | Wellmark hmo fee schedule · both | $156 | $125 | $67 | 54% | — | $32 – $188 |
| 15 | Wellmark ppo fee schedule · both | $183 | $147 | $79 | 54% | — | $38 – $221 |
| 16 | Cigna commercial fee schedule · both | $186 | $149 | $80 | 54% | — | $37 – $223 |
| 17 | Aetna hmo fee schedule · both | $189 | $156 | $80 | 51% | — | $46 – $233 |
| 18 | Aetna ppo fee schedule · both | $225 | $185 | $96 | 52% | — | $52 – $277 |
| 19 | Aetna hmo fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 20 | Aetna ppo fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
Last updated: Jan 28, 2026
See Video X-ray imaging, billed separately pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.