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 DBRD OPN FX SUBQ TISS/MUS
Sparta, WI
See all hospitals reporting CPT 11011 →Price type
Mayo Clinic Health System’s median price of $1.9k is 118% above the median hospital's median price ($870), higher than 79% of the 1,759 hospitals reporting CPT 11011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 38 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 | Ucare ucare msho medicare advantage plan [1106] professional · fee schedule · outpatient | $204.54 | $204.54 | $204.54 – $204.54 |
| 2 | Tricare swwi tricare [689] professional · fee schedule · outpatient | $225.16 | $225.16 | $225.16 – $225.16 |
| 3 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $250.66 | $250.66 | $250.66 – $250.66 |
| 4 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $258.18 | $258.18 | $258.18 – $258.18 |
| 5 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $270.59 | $270.59 | $270.59 – $270.59 |
| 6 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $275.85 | $275.85 | $275.85 – $275.85 |
| 7 | Medica swwi medica dual solution msho [1006] professional · fee schedule · outpatient | $275.85 | $275.85 | $275.85 – $275.85 |
| 8 | Ucare swwi ucare essentia care medicare advantage plan [774] professional · fee schedule · outpatient | $288.26 | $288.26 | $288.26 – $288.26 |
| 9 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $501.31 | $501.31 | $501.31 – $501.31 |
| 10 | Medica swwi medica engage ifb [1299] professional · percent of total billed charges · outpatientfrom % of charges | $1,297 | $1,297 | $1,297 – $1,297 |
| 11 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $1,436 | $1,436 | $1,436 – $1,436 |
| 12 | Medica swwi medica non mayo employee group [761] professional · percent of total billed charges · outpatientfrom % of charges | $1,596 | $1,596 | $1,596 – $1,596 |
| 13 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $1,696 | $1,696 | $1,696 – $1,696 |
| 14 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $1,696 | $1,696 | $1,696 – $1,696 |
| 15 | Blue Cross Blue Shield swwi bcbs [647] professional · percent of total billed charges · outpatientfrom % of charges | $1,796 | $1,796 | $1,796 – $1,796 |
| 16 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $1,796 | $1,796 | $1,796 – $1,796 |
| 17 | UnitedHealthcare swwi uhc [243] professional · percent of total billed charges · outpatientfrom % of charges | $1,835 | $1,835 | $1,835 – $1,835 |
| 18 | Anthem swwi anthem ppo [19] professional · percent of total billed charges · outpatientfrom % of charges | $1,855 | $1,855 | $1,855 – $1,855 |
| 19 | Blue Cross Blue Shield swwi anthem ppo [19] professional · percent of total billed charges · outpatientfrom % of charges | $1,855 | $1,855 | $1,855 – $1,855 |
| 20 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $1,875 | $1,875 | $1,875 – $1,875 |
| 21 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $1,875 | $1,875 | $1,875 – $1,875 |
| 22 | Medica multi medica ifb [1076] professional · percent of total billed charges · outpatientfrom % of charges | $1,875 | $1,875 | $1,875 – $1,875 |
| 23 | Cigna cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,895 | $1,895 | $1,895 – $1,895 |
| 24 | Healthpartners cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,895 | $1,895 | $1,895 – $1,895 |
| 25 | Humana cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,895 | $1,895 | $1,895 – $1,895 |
Last updated: Aug 14, 2026
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