Behavior treatment with protocol modification by a clinician 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ADAPT BEHAVIOR TX PHYS/QHP

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $152 is 7% below the median hospital's median price ($163), higher than 34% of the 1,022 hospitals reporting CPT 97155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97155 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 5 payers, 14 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	Wellmark commercial fee schedule · both	$39	$39	—	—	—	$39 – $39
2	Wellmark hmo fee schedule · both	$39	$39	—	—	—	$39 – $39
3	Wellmark ppo fee schedule · both	$39	$39	—	—	—	$39 – $39
4	UnitedHealthcare hmo fee schedule · both	$88	$88	—	—	—	$88 – $88
5	UnitedHealthcare ppo fee schedule · both	$88	$88	—	—	—	$88 – $88
6	Aetna medicare advantage case rate · outpatient	$152	$152	—	—	—	$152 – $152
7	Molina medicare advantage case rate · outpatient	$152	$152	—	—	—	$152 – $152
8	Wellmark medicare advantage case rate · outpatient	$152	$152	—	—	—	$152 – $152
9	Humana medicare advantage case rate · outpatient	$156	$156	—	—	—	$156 – $156
10	UnitedHealthcare medicare advantage case rate · outpatient	$156	$156	—	—	—	$156 – $156
11	Aetna hmo fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
12	Aetna ppo fee schedule · outpatient	$326	$326	—	—	—	$326 – $326
13	UnitedHealthcare hmo fee schedule · outpatient	$400	$400	—	—	—	$400 – $400
14	UnitedHealthcare ppo fee schedule · outpatient	$400	$400	—	—	—	$400 – $400

Last updated: Jan 28, 2026

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