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
Hilo, HI
See all hospitals reporting CPT 11004 →Price type
Hilo Benioff Medical Center’s median price of $550 is 74% below the median hospital's median price ($2.1k), higher than 16% 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: 3 payers, 6 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 | UnitedHealthcare medicare professional · fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 2 | Devoted medicare professional · fee schedule · both | $535 | $535 | — | — | — | $535 – $535 |
| 3 | UnitedHealthcare medicaid professional · fee schedule · both | $550 | $550 | — | — | — | $550 – $550 |
| 4 | Kaiser commercial professional · fee schedule · both | $583 | $583 | — | — | — | $583 – $583 |
| 5 | Kaiser medicaid professional · fee schedule · both | $583 | $583 | — | — | — | $583 – $583 |
| 6 | Kaiser medicare professional · fee schedule · both | $583 | $583 | — | — | — | $583 – $583 |
Last updated: Jun 15, 2026
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