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
Exc Ben Les Ext/Tr 2.1to3.0cm Pf
Perryville, MO
See all hospitals reporting CPT 11403 →Price type
Mercy Perry’s median price of $529 is 35% below the median hospital's median price ($812), higher than 22% of the 2,368 hospitals reporting CPT 11403. 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $95 | $134 | $56 | 42% | — | $93 – $213 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $192 | $271 | $114 | 42% | — | $189 – $432 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $192 | $271 | $114 | 42% | — | $189 – $432 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $192 | $271 | $114 | 42% | — | $189 – $432 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $192 | $271 | $114 | 42% | 3–30 | $189 – $432 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $192 | $271 | $114 | 42% | — | $189 – $432 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $192 | $271 | $114 | 42% | — | $189 – $432 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $195 | $276 | $116 | 42% | — | $193 – $440 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $199 | $282 | $118 | 42% | — | $197 – $449 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $199 | $282 | $118 | 42% | — | $197 – $449 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $228 | $323 | $136 | 42% | — | $225 – $514 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $265 | $374 | $157 | 42% | — | $261 – $596 |
| 13 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $388 | $388 | $2 | 1% | — | $386 – $391 |
| 14 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $388 | $388 | $2 | 1% | — | $386 – $391 |
| 15 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $299 | $422 | $177 | 42% | — | $295 – $673 |
| 16 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $299 | $423 | $178 | 42% | — | $295 – $674 |
| 17 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $438 | $438 | $3 | 1% | — | $435 – $441 |
| 18 | Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $438 | $438 | $3 | 1% | — | $435 – $441 |
| 19 | Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $482 | $482 | $3 | 1% | — | $479 – $485 |
| 20 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $359 | $507 | $213 | 42% | — | $355 – $809 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $413 | $583 | $245 | 42% | — | $407 – $929 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $413 | $583 | $245 | 42% | — | $407 – $929 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $416 | $588 | $247 | 42% | — | $411 – $937 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $416 | $588 | $247 | 42% | — | $411 – $937 |
| 25 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $600 | $600 | — | — | — | $600 – $600 |
Last updated: Mar 12, 2026
See Benign lesion removal with margins, 2.1-3 cm, trunk or limbs pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.