Skin punch biopsy, single lesion at MaineHealth

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 PUNCH BX SKIN SINGLE LES

Biddeford, ME

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Pricing by billing methodology

Price type

How this price compares nationally

MaineHealth’s median price of $306 is 30% below the median hospital's median price ($436), higher than 24% of the 2,415 hospitals reporting CPT 11104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11104 at MaineHealth

Negotiated rates from the hospital’s own file: 7 payers, 30 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 advantage case rate · both	$44	$44	—	—	—	$44 – $44
2	Anthem medicare advantage case rate · both	$45	$45	—	—	—	$45 – $45
3	Aetna medicare advantage case rate · both	$45	$45	—	—	—	$45 – $45
4	Humana medicare advantage case rate · both	$51	$51	—	—	—	$51 – $51
5	WellCare medicare advantage case rate · both	$51	$51	—	—	—	$51 – $51
6	Aetna hmo fee schedule · both	$61	$61	—	—	—	$61 – $61
7	Aetna ppo fee schedule · both	$61	$61	—	—	—	$61 – $61
8	MultiPlan commercial fee schedule · both	$86	$86	—	—	—	$86 – $86
9	UnitedHealthcare commercial fee schedule · both	$91	$91	—	—	—	$91 – $91
10	Anthem hmo/pos/ppo/pathway enhanced fee schedule · both	$101	$101	—	—	—	$101 – $101
11	Cigna oap fee schedule · both	$231	$231	—	—	—	$231 – $231
12	Cigna ppo fee schedule · both	$231	$231	—	—	—	$231 – $231
13	Aetna hmo percent of total billed charges · inpatientfrom % of charges	$306	$306	—	—	—	$306 – $306
14	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$306	$306	—	—	—	$306 – $306
15	Cigna oap percent of total billed charges · inpatientfrom % of charges	$309	$309	—	—	—	$309 – $309
16	Cigna oap percent of total billed charges · outpatientfrom % of charges	$309	$309	—	—	—	$309 – $309
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
19	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
21	UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges	$343	$343	—	—	—	$343 – $343
22	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$343	$343	—	—	—	$343 – $343
23	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
25	Aetna medicare advantage fee schedule · outpatient	$387	$387	—	—	—	$387 – $387

Page 1 of 2 · 30 rates

Last updated: Sep 9, 2025

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