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 RX&FITG CONTACT LENS CORNEOSCLERAL LENS
Cedar Rapids, IA
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 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Molina medicare advantage fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Wellmark medicare advantage fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Humana medicare advantage fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Wellmark commercial fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 7 | Wellmark hmo fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 8 | Wellmark ppo fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Aetna hmo fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Cigna commercial fee schedule · both | $104 | $104 | — | — | — | $104 – $104 |
| 11 | UnitedHealthcare hmo fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 12 | UnitedHealthcare ppo fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 13 | Aetna medicare advantage case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 14 | Molina medicare advantage case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 15 | Wellmark medicare advantage case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 16 | Humana medicare advantage case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 17 | UnitedHealthcare medicare advantage case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Aetna ppo fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 19 | Aetna hmo fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 20 | Aetna ppo fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $321 | $321 | — | — | — | $321 – $321 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $321 | $321 | — | — | — | $321 – $321 |