Removal of toenail fold tissue at Lancaster General Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC EXCISION OF NAIL FOLD TOE-MAPS

Lancaster, PA

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How this price compares nationally

Lancaster General Health’s median price of $238 is 46% below the median hospital's median price ($439), higher than 18% of the 2,202 hospitals reporting CPT 11765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11765 at Lancaster General Health

Negotiated rates from the hospital’s own file: 13 payers, 34 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	Medicaid medicaid facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
2	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$55	$55	—	—	—	$55 – $55
3	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	$2	2%	—	$78 – $82
4	Highmark highmark chip facility · other · outpatient	$118	$118	$3	2%	—	$115 – $121
5	Highmark highmark aca facility · other · outpatient	$142	$142	$4	2%	—	$139 – $146
6	Tricare tricare facility · fee schedule · outpatient	$146	$146	$4	2%	—	$143 – $150
7	Highmark highmark commercial preferred facility · other · outpatient	$163	$163	$4	2%	—	$159 – $167
8	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$165	$165	$4	2%	—	$161 – $169
9	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$5	2%	—	$180 – $189
10	Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	$5	2%	—	$192 – $202
11	Highmark highmark commercial facility · other · outpatient	$203	$203	$5	2%	—	$198 – $208
12	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	$5	2%	—	$199 – $209
13	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$207	$207	$5	2%	—	$202 – $213
14	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$207	$207	$5	2%	—	$202 – $213
15	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$5	2%	—	$202 – $213
16	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
17	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
18	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
19	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
20	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
21	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
22	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$244	$244	$6	2%	—	$238 – $250
23	Highmark highmark commercial non-preferred facility · other · outpatient	$246	$246	$6	2%	—	$240 – $252
24	Highmark highmark medicare advantage facility · fee schedule · outpatient	$409	$409	—	—	—	$409 – $409
25	Medicare medicare facility · fee schedule · outpatient	$413	$413	—	—	—	$413 – $413

Page 1 of 2 · 34 rates

Last updated: Mar 31, 2026

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