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
Paintsville, KY
See all hospitals reporting CPT 11055 →Price type
ARH Tug Valley Health Services, Inc.’s median price of $125 is 45% below the median hospital's median price ($226), higher than 19% 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, 21 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 · both | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Optum veterans affairs plan fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 3 | UnitedHealthcare medicare fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 4 | WellCare medicare fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 5 | WellCare medicaid fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Aetna Better Health medicaid fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 10 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 11 | UnitedHealthcare medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 12 | Aetna medicare other · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Anthem medicare advantage other · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 14 | Humana medicare other · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 15 | Optum veterans affairs plan other · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 16 | UnitedHealthcare medicare other · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 17 | WellCare medicare other · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 18 | WellCare medicaid other · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 19 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $269 | $269 | — | — | — | $269 – $269 |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $383 | $383 | — | — | — | $383 – $383 |
| 21 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $436 | $436 | $11 | 3% | — | $424 – $447 |
Last updated: Jan 1, 2026
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