Pupil size and reaction measurement, one or both eyes 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

QUAN PUPLMTRY PHY/QHP UNI/BI

Cedar Rapids, IA

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $17 is 87% below the median hospital's median price ($136), higher than 14% of the 1,117 hospitals reporting CPT 95919. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 95919 at St Luke's Methodist Hospital

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	$9	$10	$4	38%	—	$5 – $14
2	Molina medicare advantage fee schedule · both	$9	$10	$4	38%	—	$6 – $15
3	Wellmark medicare advantage fee schedule · both	$9	$10	$4	38%	—	$6 – $15
4	Humana medicare advantage fee schedule · both	$9	$10	$4	38%	—	$6 – $15
5	UnitedHealthcare medicare advantage fee schedule · both	$9	$10	$4	38%	—	$6 – $15
6	Wellmark commercial fee schedule · both	$19	$21	$8	37%	—	$13 – $32
7	Wellmark hmo fee schedule · both	$19	$21	$8	37%	—	$13 – $32
8	Cigna commercial fee schedule · both	$23	$25	$10	39%	—	$14 – $37
9	Wellmark ppo fee schedule · both	$23	$25	$9	38%	—	$15 – $38
10	UnitedHealthcare hmo fee schedule · both	$27	$28	$11	40%	—	$15 – $42
11	UnitedHealthcare ppo fee schedule · both	$27	$28	$11	40%	—	$15 – $42
12	Aetna medicare advantage case rate · outpatient	$122	$122	—	—	—	$122 – $122
13	Molina medicare advantage case rate · outpatient	$122	$122	—	—	—	$122 – $122
14	Wellmark medicare advantage case rate · outpatient	$122	$122	—	—	—	$122 – $122
15	Humana medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
16	UnitedHealthcare medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
17	Aetna hmo fee schedule · outpatient	$252	$252	—	—	—	$252 – $252
18	Aetna ppo fee schedule · outpatient	$262	$262	—	—	—	$262 – $262
19	UnitedHealthcare hmo fee schedule · outpatient	$321	$321	—	—	—	$321 – $321
20	UnitedHealthcare ppo fee schedule · outpatient	$321	$321	—	—	—	$321 – $321

Last updated: Jan 28, 2026

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