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
HC TANGNTL BX SKIN EA SEP/ADDL
Low
$0
Average
$949
Median
$339
High
$10.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1565 hospitals; the 90th percentile is 72.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,453 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | 198 | $205 – $205 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $141 | $141 | — | — | 113 | $141 – $141 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $141 | $141 | — | — | 113 | $141 – $141 |
| 4 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $126 | $126 | — | — | 50–59 | $126 – $126 |
| 5 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | 40 | $7.4k – $7.4k |
| 6 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | 40 | $7.4k – $7.4k |
| 7 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $172 | $188 | $33 | 18% | 30–48 | $158 – $233 |
| 8 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $219 | $212 | $13 | 6% | 21–210 | $187 – $219 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $184 | $184 | — | — | 17 | $184 – $184 |
| 10 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $106 | $109 | $35 | 33% | 16–160 | $65 – $178 |
| 11 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 3 | $2.3k | $2.4k | $2.0k | 82% | 16 | $439 – $4.6k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $405 | $353 | $116 | 33% | 15–24 | $93 – $405 |
| 13 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $403 | $403 | $165 | 41% | 15–24 | $238 – $568 |
| 14 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | $34 | 30% | 14–32 | $78 – $145 |
| 15 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | 13 | $12 – $12 |
| 16 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $352 | $357 | $11 | 3% | 5–50 | $352 – $379 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $44 | $43 | $9 | 20% | 4–40 | $31 – $52 |
| 18 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | $52 | 43% | 2–20 | $71 – $176 |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $24 | $31 | $15 | 50% | 2–20 | $17 – $52 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $97 | — | — | 2–20 | $97 – $97 |
| 21 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | — | — | 2–20 | $385 – $385 |
| 22 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.7k | $1.6k | $149 | 9% | 2–20 | $1.4k – $1.8k |
| 23 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $194 | $22 | 11% | 2–20 | $166 – $223 |
| 24 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $180 | $109 | 60% | 2–20 | $71 – $288 |
| 25 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
← Payers reporting CPT 11103 · Snapshot 20261112T181611Z-3fa9fb76