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
Exc Lesn Mal Sclp/Hnd/Gen >4.0cm
Low
$4
Average
$3.3k
Median
$2.9k
High
$52.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1447 hospitals; the 90th percentile is 9.4× 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.
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2,202 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $6.7k | $6.6k | $1.3k | 20% | 2–20 | $4.9k – $8.2k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $2.9k | $2.9k | — | — | 2–20 | $2.9k – $2.9k |
| 3 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 4 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 8 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $5.8k | $5.8k | $148 | 3% | 1–10 | $5.6k – $5.9k |
| 9 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · case rate · outpatient | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 10 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 11 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.2k | $8.2k | — | — | 1–10 | $8.2k – $8.2k |
| 13 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $5.0k | $5.0k | $745 | 15% | 1–10 | $3.7k – $5.7k |
| 14 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 15 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 2 | $7.5k | $7.4k | $495 | 7% | 1–10 | $6.8k – $8.0k |
| 16 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 2 | $7.5k | $7.3k | $354 | 5% | 1–10 | $6.8k – $7.5k |
| 17 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 2 | $7.5k | $7.3k | $354 | 5% | 1–10 | $6.8k – $7.5k |
| 18 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 2 | $7.5k | $7.3k | $354 | 5% | 1–10 | $6.8k – $7.5k |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · other · outpatient | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 20 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 21 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL case rate · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 22 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 23 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 24 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 25 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT fee schedule · outpatient | 3 | $2.7k | $2.6k | $63 | 2% | 1–10 | $2.6k – $2.7k |
← Payers reporting CPT 11626 · Snapshot 20261112T124536Z-e251e855