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

Photodynamic Therapy

Medicaid pricing summary

Low

Average

$161

Median

$116

High

$370

Medicaid rate distribution

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25 hospital rates

#		Plans
1	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both	2	$116	$116	$6	5%	—	$111 – $122
2	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient	1	$146	$146	—	—	—	$146 – $146
3	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$170	$170	—	—	—	$170 – $170
4	Clarion Hospital Clarion, PA facility · case rate · outpatient	1	$146	$146	—	—	—	$146 – $146
5	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$104	$104	—	—	—	$104 – $104
6	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$158	$158	—	—	—	$158 – $158
7	Geisinger Medical Center Muncy, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
8	Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
9	Henry Ford Health Novi, MI other · outpatient	1	$113	$113	—	—	—	$113 – $113
10	Henry Ford Health Twp, MI other · outpatient	1	$116	$116	—	—	—	$116 – $116
11	Henry Ford Health Southfield, MI other · outpatient	1	$113	$113	—	—	—	$113 – $113
12	Henry Ford Health Rochester, MI other · outpatient	1	$105	$105	—	—	—	$105 – $105
13	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$104	$104	—	—	—	$104 – $104
14	Mercy Hospital Jefferson Imperial, MO facility · fee schedule · outpatient	1	$169	$169	—	—	—	$169 – $169
15	Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$41	$41	$5	12%	—	$36 – $46
16	Mercy Hospital Lincoln Troy, MO facility · fee schedule · outpatient	1	$237	$237	—	—	—	$237 – $237
17	Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$41	$41	$5	12%	—	$36 – $46
18	Montefiore Medical Center Bronx, NY fee schedule · outpatient	1	$370	$370	—	—	—	$370 – $370
19	Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient	1	$347	$347	—	—	—	$347 – $347
20	Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient	1	$347	$347	—	—	—	$347 – $347
21	Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient	1	$169	$169	—	—	—	$169 – $169
22	Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$41	$41	$5	12%	—	$36 – $46
23	UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges	2	$314	$318	$102	32%	—	$207 – $439
24	UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA other · both	1	$240	$240	—	—	—	$240 – $240
25	UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges	3	$216	$256	$118	46%	—	$130 – $435