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
PR DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT&PER
Boulder, CO
See all hospitals reporting CPT 11004 →Price type
Boulder Community Health’s median price of $788 is 63% below the median hospital's median price ($2.1k), higher than 29% of the 1,440 hospitals reporting CPT 11004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 advantage facility · case rate · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 2 | Aetna medicare advantage professional · case rate · both | $499 | $499 | — | — | — | $499 – $499 |
| 3 | Anthem medicare advantage facility · case rate · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 4 | Anthem medicare advantage professional · fee schedule · both | $499 | $499 | — | — | — | $499 – $499 |
| 5 | Devoted medicare advantage professional · fee schedule · both | $499 | $499 | — | — | — | $499 – $499 |
| 6 | Humana medicare advantage professional · fee schedule · both | $499 | $499 | — | — | — | $499 – $499 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $499 | $499 | — | — | — | $499 – $499 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 9 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 10 | Kaiser medicare advantage facility · case rate · outpatient | $511 | $511 | $3 | 0% | — | $509 – $514 |
| 11 | Devoted medicare advantage facility · case rate · outpatient | $514 | $514 | — | — | — | $514 – $514 |
| 12 | Anthem managed care facility · fee schedule · outpatient | $560 | $560 | — | — | — | $560 – $560 |
| 13 | Kaiser medicare advantage professional · fee schedule · both | $618 | $618 | — | — | — | $618 – $618 |
| 14 | Anthem commercial facility · fee schedule · outpatient | $544 | $688 | $335 | 49% | — | $479 – $1.4k |
| 15 | Anthem commercial professional · fee schedule · both | $688 | $756 | $108 | 14% | — | $688 – $927 |
| 16 | Kaiser commercial professional · fee schedule · both | $788 | $788 | — | — | — | $788 – $788 |
| 17 | MultiPlan commercial professional · fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 18 | Phcs commercial professional · fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 19 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $879 | $879 | — | — | — | $879 – $879 |
| 20 | Cigna commercial facility · fee schedule · outpatient | $894 | $894 | — | — | — | $894 – $894 |
| 21 | Anthem managed care professional · fee schedule · both | $927 | $927 | — | — | — | $927 – $927 |
| 22 | Cigna commercial professional · fee schedule · both | $933 | $933 | — | — | — | $933 – $933 |
| 23 | Kaiser commercial facility · case rate · outpatient | $1.1k | $1.1k | $132 | 12% | — | $956 – $1.2k |
| 24 | Aetna commercial professional · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Aetna ppo professional · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Sep 16, 2026
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