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 PUNCH BX SKIN EA SEP/ADDL
Low
$33
Average
$202
Median
$112
High
$1.6k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 10.4× 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.
Filter by billing methodology
Filter by billing class
72 hospital rates
iThe hospitals that file a Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 6 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 7 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $141 | $138 | $5 | 4% | — | $129 – $141 |
| 8 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $141 | $138 | $5 | 4% | — | $129 – $141 |
| 9 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 10 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $128 | $123 | $50 | 41% | — | $48 – $187 |
| 12 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 18 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $680 | $680 | — | — | — | $680 – $680 |
| 19 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · outpatient | 1 | $680 | $680 | — | — | — | $680 – $680 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 21 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 23 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 25 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
← Payers reporting CPT 11105 · Snapshot 20261111T120946Z-9134e7f7