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 PATH CLIN CONSLTJ MOD 21-40
Cedar Rapids, IA
See all hospitals reporting CPT 80504 →Price type
St Luke's Methodist Hospital’s median price of $100 is 43% below the median hospital's median price ($175), higher than 17% of the 1,490 hospitals reporting CPT 80504. 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, 23 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 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Molina medicare advantage fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Wellmark medicare advantage fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Humana medicare advantage fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 6 | UnitedHealthcare hmo fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 7 | UnitedHealthcare ppo fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 8 | Cigna commercial fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $69 | $69 | $4 | 6% | — | $65 – $73 |
| 10 | Wellmark commercial fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 11 | Wellmark hmo fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 12 | Wellmark ppo fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 13 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 14 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Aetna medicare advantage case rate · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 16 | Molina medicare advantage case rate · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 17 | Wellmark medicare advantage case rate · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 18 | Humana medicare advantage case rate · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 19 | UnitedHealthcare medicare advantage case rate · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 20 | Aetna hmo fee schedule · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 21 | Aetna ppo fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 22 | UnitedHealthcare hmo fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 23 | UnitedHealthcare ppo fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
Last updated: Jan 28, 2026
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