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
CHG L/S RATIO, FLUORESCENCE POLARIZATION
Cedar Rapids, IA
See all hospitals reporting CPT 83663 →Price type
St Luke's Methodist Hospital’s median price of $20 is about the same as the median hospital's median price ($20), higher than 43% of the 1,469 hospitals reporting CPT 83663. 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, 17 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 | UnitedHealthcare hmo fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 2 | UnitedHealthcare ppo fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | UnitedHealthcare ppo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Wellmark commercial fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Wellmark hmo fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Wellmark ppo fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 8 | Aetna medicare advantage case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Molina medicare advantage case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 10 | Wellmark medicare advantage case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Humana medicare advantage case rate · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Cigna commercial fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 14 | Aetna hmo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 15 | Aetna ppo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Aetna hmo fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 17 | Aetna ppo fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
Last updated: Jan 28, 2026
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