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/cutg b9 hyprker les 1
Atlanta, GA
See all hospitals reporting CPT 11055 →Price type
Grady Memorial Hospital’s median price of $198 is 12% below the median hospital's median price ($226), higher than 36% 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: 13 payers, 56 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 | Caresource commercial professional · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Aetna medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 3 | Ambetter marketplace professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 4 | Anthem medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 5 | Cigna medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 6 | Humana medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 7 | Kaiser medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 8 | Medicare medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 9 | UnitedHealthcare medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 10 | WellCare medicare professional · fee schedule · outpatient | $41 | $41 | $26 | 64% | — | $15 – $68 |
| 11 | Clover medicare professional · fee schedule · outpatient | $44 | $44 | $28 | 64% | — | $16 – $71 |
| 12 | Cigna commercial facility · case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 13 | Cigna local plus facility · case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 14 | Oscar commercial/marketplace professional · fee schedule · outpatient | $60 | $60 | $38 | 64% | — | $21 – $98 |
| 15 | Caresource marketplace professional · fee schedule · outpatient | $66 | $66 | $42 | 64% | — | $24 – $109 |
| 16 | Aetna medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 17 | Ambetter marketplace facility · fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 18 | Anthem medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 19 | Cigna medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 20 | Humana medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 21 | Kaiser medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 22 | Medicare medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 23 | UnitedHealthcare medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 24 | WellCare medicare facility · case rate · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 25 | Clover medicare facility · case rate · outpatient | $208 | $208 | — | — | — | $208 – $208 |
Last updated: Jan 1, 2026
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