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
Halo repl liner/interface
Cedar Rapids, IA
See all hospitals reporting HCPCS L0861 →Price type
St Luke's Methodist Hospital’s median price of $271 is 1% below the median hospital's median price ($274), higher than 43% of the 907 hospitals reporting HCPCS L0861. 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, 17 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 | UnitedHealthcare hmo fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 2 | UnitedHealthcare ppo fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 3 | Wellmark commercial fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 4 | Wellmark hmo fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 5 | Wellmark ppo fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 6 | Aetna medicare advantage case rate · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 7 | Molina medicare advantage case rate · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 8 | Wellmark medicare advantage case rate · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 9 | Humana medicare advantage case rate · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 11 | Aetna hmo fee schedule · both | $289 | $289 | — | — | — | $289 – $289 |
| 12 | Aetna ppo fee schedule · both | $289 | $289 | — | — | — | $289 – $289 |
| 13 | Cigna commercial fee schedule · both | $328 | $328 | — | — | — | $328 – $328 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 16 | Aetna hmo fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
| 17 | Aetna ppo fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
Last updated: Jan 28, 2026
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