Eye imaging with indocyanine green dye 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

PR INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI (26)

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $284 is 6% below the median hospital's median price ($302), higher than 44% of the 1,279 hospitals reporting CPT 92240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92240 at St Luke's Methodist Hospital

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	$168	$140	$71	51%	—	$42 – $210
2	Molina medicare advantage fee schedule · both	$171	$143	$73	51%	—	$43 – $214
3	Wellmark medicare advantage fee schedule · both	$171	$143	$73	51%	—	$43 – $214
4	Humana medicare advantage fee schedule · both	$176	$147	$75	51%	—	$44 – $221
5	UnitedHealthcare medicare advantage fee schedule · both	$176	$147	$75	51%	—	$44 – $221
6	Wellmark commercial fee schedule · both	$351	$291	$149	51%	—	$86 – $436
7	Wellmark hmo fee schedule · both	$351	$291	$149	51%	—	$86 – $436
8	Cigna commercial fee schedule · both	$331	$294	$137	47%	—	$110 – $441
9	Aetna medicare advantage case rate · outpatient	$294	$294	—	—	—	$294 – $294
10	Molina medicare advantage case rate · outpatient	$294	$294	—	—	—	$294 – $294
11	Wellmark medicare advantage case rate · outpatient	$294	$294	—	—	—	$294 – $294
12	Humana medicare advantage case rate · outpatient	$303	$303	—	—	—	$303 – $303
13	UnitedHealthcare medicare advantage case rate · outpatient	$303	$303	—	—	—	$303 – $303
14	UnitedHealthcare hmo fee schedule · both	$386	$340	$161	47%	—	$124 – $510
15	UnitedHealthcare ppo fee schedule · both	$386	$340	$161	47%	—	$124 – $510
16	Wellmark ppo fee schedule · both	$413	$342	$176	51%	—	$101 – $513
17	Aetna hmo fee schedule · both	$415	$369	$172	47%	—	$139 – $554
18	Aetna ppo fee schedule · both	$505	$449	$210	47%	—	$169 – $674
19	Aetna hmo fee schedule · outpatient	$608	$608	—	—	—	$608 – $608
20	Aetna ppo fee schedule · outpatient	$632	$632	—	—	—	$632 – $632
21	UnitedHealthcare hmo fee schedule · outpatient	$775	$775	—	—	—	$775 – $775
22	UnitedHealthcare ppo fee schedule · outpatient	$775	$775	—	—	—	$775 – $775

Last updated: Jan 28, 2026

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