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
Lens sphc trifo 7.25-12/4.25
Cedar Rapids, IA
See all hospitals reporting HCPCS V2313 →Price type
St Luke's Methodist Hospital’s median price of $126 is 7% below the median hospital's median price ($136), higher than 24% of the 727 hospitals reporting HCPCS V2313. 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 | $60 | $60 | — | — | — | $60 – $60 |
| 2 | UnitedHealthcare ppo fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Wellmark commercial fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Wellmark hmo fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 5 | Wellmark ppo fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Aetna medicare advantage case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 7 | Molina medicare advantage case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 8 | Wellmark medicare advantage case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 9 | Humana medicare advantage case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 11 | Aetna hmo fee schedule · both | $134 | $134 | — | — | — | $134 – $134 |
| 12 | Aetna ppo fee schedule · both | $134 | $134 | — | — | — | $134 – $134 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 15 | Aetna hmo fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 16 | Aetna ppo fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 17 | Cigna commercial fee schedule · both | $229 | $229 | — | — | — | $229 – $229 |
Last updated: Jan 28, 2026
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