Photodynamic light therapy for precancerous skin lesions

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Pdt Dstr Prmlg Les Skn Illum/Activj per Day

Medicaid pricing summary

Low

Average

$147

Median

$104

High

$825

Medicaid rate distribution

Filter by billing methodology

Filter by billing class

27 hospital rates

#		Plans
1	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$253	$253	—	—	—	$253 – $253
2	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$205	$205	—	—	—	$205 – $205
3	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both	2	$116	$116	$6	5%	—	$111 – $122
4	Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient	2	$113	$113	—	—	—	$113 – $113
5	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$101	$101	—	—	—	$101 – $101
6	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$104	$104	—	—	—	$104 – $104
7	Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient	2	$113	$113	—	—	—	$113 – $113
8	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$95	$95	—	—	—	$95 – $95
9	Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
10	Geisinger Medical Center Muncy, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
11	Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
12	Henry Ford Health Novi, MI other · outpatient	1	$113	$113	—	—	—	$113 – $113
13	Henry Ford Health Twp, MI other · outpatient	1	$116	$116	—	—	—	$116 – $116
14	Henry Ford Health Southfield, MI other · outpatient	1	$113	$113	—	—	—	$113 – $113
15	Henry Ford Health Rochester, MI other · outpatient	1	$105	$105	—	—	—	$105 – $105
16	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$104	$104	—	—	—	$104 – $104
17	Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges	1	$77	$77	—	—	—	$77 – $77
18	Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · inpatientfrom % of charges	1	$421	$421	—	—	—	$421 – $421
19	Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · outpatientfrom % of charges	1	$421	$421	—	—	—	$421 – $421
20	Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$32	$32	$10	30%	—	$22 – $42
21	Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$32	$32	$10	30%	—	$22 – $42
22	North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
23	Ohio State University Hospitals Columbus, OH fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
24	Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$32	$32	$10	30%	—	$22 – $42
25	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$825	$825	—	—	—	$825 – $825