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 OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI
Cedar Rapids, IA
See all hospitals reporting CPT 92201 →Price type
St Luke's Methodist Hospital’s median price of $55 is 15% below the median hospital's median price ($65), higher than 20% of the 1,351 hospitals reporting CPT 92201. 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, 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 | Aetna medicare advantage fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Molina medicare advantage fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Wellmark medicare advantage fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Humana medicare advantage fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Wellmark commercial fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Wellmark hmo fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Wellmark ppo fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Cigna commercial fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 10 | Aetna medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 11 | Molina medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 12 | Wellmark medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Humana medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 14 | UnitedHealthcare medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 15 | UnitedHealthcare hmo fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 16 | UnitedHealthcare ppo fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Aetna hmo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 18 | Aetna ppo fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
Last updated: Jan 28, 2026
See Extended eye exam with retinal drawing and scleral depression pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.