Thin-layer chromatography test for sugars 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

HC SUGARS CHROMOTOGR TLC/PAPER

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 $40 is about the same as the median hospital's median price ($40), higher than 44% of the 1,393 hospitals reporting CPT 84375. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 84375 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 7 payers, 20 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	$23	$23	—	—	—	$23 – $23
2	UnitedHealthcare ppo fee schedule · both	$23	$23	—	—	—	$23 – $23
3	Aetna hmo fee schedule · both	$38	$38	—	—	—	$38 – $38
4	Aetna ppo fee schedule · both	$38	$38	—	—	—	$38 – $38
5	Medica commercial percent of total billed charges · outpatientfrom % of charges	$38	$38	$2	6%	—	$36 – $41
6	UnitedHealthcare hmo fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
7	UnitedHealthcare ppo fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
8	Wellmark commercial fee schedule · both	$39	$39	—	—	—	$39 – $39
9	Wellmark hmo fee schedule · both	$39	$39	—	—	—	$39 – $39
10	Wellmark ppo fee schedule · both	$39	$39	—	—	—	$39 – $39
11	Aetna medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
12	Molina medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
13	Wellmark medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
14	Humana medicare advantage case rate · outpatient	$41	$41	—	—	—	$41 – $41
15	UnitedHealthcare medicare advantage case rate · outpatient	$41	$41	—	—	—	$41 – $41
16	Cigna commercial fee schedule · both	$51	$51	—	—	—	$51 – $51
17	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
18	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
19	Aetna hmo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
20	Aetna ppo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72

Last updated: Jan 28, 2026

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