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 DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT
Cedar Rapids, IA
See all hospitals reporting CPT 96574 →Price type
St Luke's Methodist Hospital’s median price of $253 is 11% below the median hospital's median price ($283), higher than 38% of the 1,368 hospitals reporting CPT 96574. 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, 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 case rate · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 2 | Molina medicare advantage case rate · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 3 | Wellmark medicare advantage case rate · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 4 | Humana medicare advantage case rate · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 6 | Aetna medicare advantage fee schedule · both | $241 | $241 | — | — | — | $241 – $241 |
| 7 | Molina medicare advantage fee schedule · both | $246 | $246 | — | — | — | $246 – $246 |
| 8 | Wellmark medicare advantage fee schedule · both | $246 | $246 | — | — | — | $246 – $246 |
| 9 | Humana medicare advantage fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 10 | UnitedHealthcare medicare advantage fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 11 | Aetna hmo fee schedule · outpatient | $388 | $388 | — | — | — | $388 – $388 |
| 12 | Aetna ppo fee schedule · outpatient | $403 | $403 | — | — | — | $403 – $403 |
| 13 | Wellmark commercial fee schedule · both | $405 | $405 | — | — | — | $405 – $405 |
| 14 | Wellmark hmo fee schedule · both | $405 | $405 | — | — | — | $405 – $405 |
| 15 | Wellmark ppo fee schedule · both | $477 | $477 | — | — | — | $477 – $477 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 18 | Cigna commercial fee schedule · both | $653 | $653 | — | — | — | $653 – $653 |
| 19 | UnitedHealthcare hmo fee schedule · both | $663 | $663 | — | — | — | $663 – $663 |
| 20 | UnitedHealthcare ppo fee schedule · both | $663 | $663 | — | — | — | $663 – $663 |
Last updated: Jan 28, 2026
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