Heart blood pool scan with right ventricle function measurement 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 HEART FIRST PASS ADD-ON (TC)

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $38 is 51% below the median hospital's median price ($79), higher than 22% of the 1,221 hospitals reporting CPT 78496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 78496 at St Luke's Methodist Hospital

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	$21	$25	$9	36%	—	$17 – $38
2	Molina medicare advantage fee schedule · both	$21	$26	$9	36%	—	$17 – $38
3	Wellmark medicare advantage fee schedule · both	$21	$26	$9	36%	—	$17 – $38
4	Humana medicare advantage fee schedule · both	$22	$26	$10	36%	—	$18 – $40
5	UnitedHealthcare medicare advantage fee schedule · both	$22	$26	$10	36%	—	$18 – $40
6	UnitedHealthcare hmo fee schedule · both	$31	$36	$13	37%	—	$23 – $54
7	UnitedHealthcare ppo fee schedule · both	$31	$36	$13	37%	—	$23 – $54
8	Wellmark commercial fee schedule · both	$38	$47	$17	36%	—	$33 – $71
9	Wellmark hmo fee schedule · both	$38	$47	$17	36%	—	$33 – $71
10	Cigna commercial fee schedule · both	$46	$54	$20	36%	—	$35 – $81
11	Wellmark ppo fee schedule · both	$45	$56	$20	36%	—	$38 – $83
12	Aetna hmo fee schedule · both	$56	$74	$26	35%	—	$55 – $111
13	Aetna ppo fee schedule · both	$67	$87	$31	35%	—	$63 – $130

Last updated: Jan 28, 2026

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