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
HC ER PARING BENIGN SINGLE LESION
Milledgeville, GA
See all hospitals reporting CPT 11055 →Price type
Navicent Health Baldwin Inc’s median price of $194 is 14% below the median hospital's median price ($226), higher than 33% of the 2,281 hospitals reporting CPT 11055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 36 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 medicare advantage fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Anthem medicare advantage fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Humana medicare advantage fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Caresource medicare advantage fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Clover medicare advantage fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Ambetter managed medicaid fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 9 | Cigna commercial fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Aetna hmo/pos fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 11 | Aetna ppo fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Humana hmo/pos fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 13 | Humana ppo fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 14 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 15 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 16 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 17 | Anthem medicare advantage fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 18 | Humana medicare advantage fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 19 | UnitedHealthcare medicare advantage fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 20 | Aetna medicare advantage fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 21 | Caresource medicare advantage fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 22 | Clover medicare advantage fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 23 | Aetna hmo/pos percent of total billed charges · inpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 24 | Aetna hmo/pos percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 25 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
Last updated: Nov 19, 2025
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