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 DESTRUCTION PREMALIGNANT LESION 15/>
Boulder, CO
See all hospitals reporting CPT 17004 →Price type
Boulder Community Health’s median price of $178 is 61% below the median hospital's median price ($452), higher than 12% of the 1,860 hospitals reporting CPT 17004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 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 professional · case rate · both | $85 | $85 | — | — | — | $85 – $85 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Humana medicare advantage professional · fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Kaiser commercial professional · fee schedule · both | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Anthem commercial professional · fee schedule · both | $124 | $136 | $19 | 14% | — | $124 – $167 |
| 8 | Healthpartners managed medicaid professional · fee schedule · both | $142 | $142 | — | — | — | $142 – $142 |
| 9 | MultiPlan commercial professional · fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 10 | Phcs commercial professional · fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 11 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 12 | Cigna commercial facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 13 | Anthem managed care professional · fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 14 | Cigna commercial professional · fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 15 | Aetna commercial professional · fee schedule · both | $191 | $191 | — | — | — | $191 – $191 |
| 16 | Aetna ppo professional · fee schedule · both | $191 | $191 | — | — | — | $191 – $191 |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $193 | $193 | — | — | — | $193 – $193 |
| 18 | UnitedHealthcare medicare advantage professional · fee schedule · both | $259 | $259 | $175 | 67% | — | $85 – $434 |
| 19 | Aetna medicare advantage facility · case rate · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 20 | Anthem medicare advantage facility · case rate · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 21 | Humana medicare advantage facility · case rate · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 22 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 23 | Kaiser medicare advantage facility · case rate · outpatient | $444 | $444 | $2 | 0% | — | $442 – $447 |
| 24 | Devoted medicare advantage facility · case rate · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 25 | Kaiser commercial facility · case rate · outpatient | $946 | $946 | $114 | 12% | — | $832 – $1.1k |
Last updated: Sep 16, 2026
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