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
PARING/CUTTING BENGN LESN SNGL
Hazard, KY
See all hospitals reporting CPT 11055 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $161 is 28% below the median hospital's median price ($226), higher than 23% of the 2,281 hospitals reporting CPT 11055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Optum veterans affairs plan fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | WellCare medicare fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 5 | WellCare medicaid fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Aetna Better Health medicaid fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $58 | $58 | $42 | 72% | — | $16 – $99 |
| 8 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $58 | $58 | $42 | 72% | 2–20 | $16 – $99 |
| 9 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $62 | $62 | $45 | 72% | 2–20 | $17 – $106 |
| 10 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 11 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Aetna medicare other · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 13 | Anthem medicare advantage other · outpatient | $161 | $161 | — | — | 1–10 | $161 – $161 |
| 14 | Humana medicare other · outpatient | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 15 | Optum veterans affairs plan other · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 16 | UnitedHealthcare medicare other · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 17 | WellCare medicare other · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $328 | $328 | — | — | — | $328 – $328 |
| 19 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $378 | $378 | $10 | 3% | 1–10 | $368 – $387 |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
Last updated: Jan 1, 2026
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