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 MICROVOLT T-WAVE ALTERNANS
Cedar Rapids, IA
See all hospitals reporting CPT 93025 →Price type
St Luke's Methodist Hospital’s median price of $143 is 13% below the median hospital's median price ($165), higher than 33% of the 1,283 hospitals reporting CPT 93025. 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 | $81 | $76 | $33 | 43% | — | $34 – $115 |
| 2 | Molina medicare advantage fee schedule · both | $82 | $78 | $34 | 43% | — | $35 – $117 |
| 3 | Wellmark medicare advantage fee schedule · both | $82 | $78 | $34 | 43% | — | $35 – $117 |
| 4 | Humana medicare advantage fee schedule · both | $85 | $80 | $35 | 43% | — | $36 – $120 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $85 | $80 | $35 | 43% | — | $36 – $120 |
| 6 | Aetna medicare advantage case rate · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 7 | Molina medicare advantage case rate · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 8 | Wellmark medicare advantage case rate · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 9 | Humana medicare advantage case rate · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 11 | Wellmark commercial fee schedule · both | $183 | $170 | $75 | 44% | — | $73 – $256 |
| 12 | Wellmark hmo fee schedule · both | $183 | $170 | $75 | 44% | — | $73 – $256 |
| 13 | Cigna commercial fee schedule · both | $206 | $197 | $84 | 43% | — | $89 – $295 |
| 14 | Wellmark ppo fee schedule · both | $215 | $200 | $88 | 44% | — | $86 – $301 |
| 15 | Aetna hmo fee schedule · both | $271 | $234 | $114 | 48% | — | $80 – $351 |
| 16 | UnitedHealthcare hmo fee schedule · both | $271 | $249 | $112 | 45% | — | $103 – $374 |
| 17 | UnitedHealthcare ppo fee schedule · both | $271 | $249 | $112 | 45% | — | $103 – $374 |
| 18 | Aetna ppo fee schedule · both | $323 | $279 | $136 | 49% | — | $95 – $418 |
| 19 | Aetna hmo fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 20 | Aetna ppo fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
Last updated: Jan 28, 2026
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