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 ACTIGRAPHY TESTING, 3-14 DAY (26)
Cedar Rapids, IA
See all hospitals reporting CPT 95803 →Price type
St Luke's Methodist Hospital’s median price of $116 is 12% above the median hospital's median price ($104), higher than 54% of the 1,470 hospitals reporting CPT 95803. 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 case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Molina medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Wellmark medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 4 | Humana medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 6 | Aetna medicare advantage fee schedule · both | $79 | $78 | $32 | 41% | — | $39 – $118 |
| 7 | Molina medicare advantage fee schedule · both | $81 | $80 | $33 | 41% | — | $39 – $120 |
| 8 | Wellmark medicare advantage fee schedule · both | $81 | $80 | $33 | 41% | — | $39 – $120 |
| 9 | Humana medicare advantage fee schedule · both | $83 | $82 | $34 | 41% | — | $40 – $123 |
| 10 | UnitedHealthcare medicare advantage fee schedule · both | $83 | $82 | $34 | 41% | — | $40 – $123 |
| 11 | Aetna hmo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Aetna ppo fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 15 | Wellmark commercial fee schedule · both | $179 | $174 | $73 | 42% | — | $82 – $261 |
| 16 | Wellmark hmo fee schedule · both | $179 | $174 | $73 | 42% | — | $82 – $261 |
| 17 | Aetna hmo fee schedule · both | $210 | $202 | $86 | 43% | — | $92 – $303 |
| 18 | Wellmark ppo fee schedule · both | $210 | $205 | $86 | 42% | — | $97 – $307 |
| 19 | Cigna commercial fee schedule · both | $220 | $214 | $90 | 42% | — | $102 – $321 |
| 20 | Aetna ppo fee schedule · both | $251 | $241 | $103 | 42% | — | $111 – $362 |
| 21 | UnitedHealthcare hmo fee schedule · both | $255 | $248 | $104 | 42% | — | $117 – $372 |
| 22 | UnitedHealthcare ppo fee schedule · both | $255 | $248 | $104 | 42% | — | $117 – $372 |
Last updated: Jan 28, 2026
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