Skin punch biopsy, single lesion at Mount Carmel East

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

PR Biopsy Skin Punch Single Lesion|MULTIPLE PROCEDURES

Columbus, OH

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How this price compares nationally

Mount Carmel East’s median price of $295 is 32% below the median hospital's median price ($433), higher than 24% of the 2,441 hospitals reporting CPT 11104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11104 at Mount Carmel East

Negotiated rates from the hospital’s own file: 33 payers, 103 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	Aetna aetna medicare advantage professional · fee schedule · both	$56	$56	—	—	1–10	$56 – $56
2	Highmark medicare professional · fee schedule · both	$56	$56	—	—	—	$56 – $56
3	Oscar medicare professional · fee schedule · both	$56	$56	—	—	—	$56 – $56
4	Humana tricare professional · fee schedule · both	$56	$56	—	—	—	$56 – $56
5	Tricare tricare professional · fee schedule · both	$56	$56	—	—	—	$56 – $56
6	Humana humana professional · fee schedule · both	$66	$66	—	—	—	$66 – $66
7	Oscar oscar professional · fee schedule · both	$71	$71	—	—	1–10	$71 – $71
8	Humana choicecare humana ppo professional · fee schedule · both	$75	$75	—	—	—	$75 – $75
9	Phcs multiplan phcs professional · fee schedule · both	$77	$77	—	—	—	$77 – $77
10	UnitedHealthcare united healthcare professional · fee schedule · both	$99	$99	—	—	1–10	$99 – $99
11	Aetna aetna professional · fee schedule · both	$100	$100	—	—	1–10	$100 – $100
12	Cigna cigna professional · fee schedule · both	$127	$127	—	—	—	$127 – $127
13	Cigna cigna facility · fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
14	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
15	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
16	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	3–30	$295 – $295
17	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	1–10	$295 – $295
18	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
19	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	1–10	$295 – $295
20	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
21	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
22	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
23	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
24	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
25	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	1–10	$295 – $295

Page 1 of 5 · 103 rates

Last updated: Mar 31, 2026

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See Skin punch biopsy, single lesion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.