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 LIMITED VISUAL FIELD XM UNI/BI I&R (TC)
Cedar Rapids, IA
See all hospitals reporting CPT 92081 →Price type
St Luke's Methodist Hospital’s median price of $40 is 38% below the median hospital's median price ($64), higher than 19% of the 1,410 hospitals reporting CPT 92081. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $16 | $20 | $7 | 35% | — | $15 – $30 |
| 2 | Molina medicare advantage fee schedule · both | $16 | $20 | $7 | 35% | — | $15 – $31 |
| 3 | Wellmark medicare advantage fee schedule · both | $16 | $20 | $7 | 35% | — | $15 – $31 |
| 4 | Humana medicare advantage fee schedule · both | $16 | $21 | $7 | 35% | — | $15 – $32 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $16 | $21 | $7 | 35% | — | $15 – $32 |
| 6 | Wellmark commercial fee schedule · both | $33 | $41 | $15 | 35% | — | $29 – $62 |
| 7 | Wellmark hmo fee schedule · both | $33 | $41 | $15 | 35% | — | $29 – $62 |
| 8 | Wellmark ppo fee schedule · both | $38 | $48 | $17 | 36% | — | $34 – $73 |
| 9 | Aetna hmo fee schedule · both | $39 | $50 | $17 | 34% | — | $36 – $74 |
| 10 | Cigna commercial fee schedule · both | $41 | $53 | $19 | 35% | — | $38 – $79 |
| 11 | Aetna medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 12 | Molina medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Wellmark medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 14 | UnitedHealthcare hmo fee schedule · both | $43 | $57 | $20 | 35% | — | $43 – $86 |
| 15 | UnitedHealthcare ppo fee schedule · both | $43 | $57 | $20 | 35% | — | $43 – $86 |
| 16 | Humana medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 17 | UnitedHealthcare medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 18 | Aetna ppo fee schedule · both | $47 | $60 | $21 | 35% | — | $43 – $90 |
| 19 | Aetna hmo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 20 | Aetna ppo fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
Last updated: Jan 28, 2026
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