Skin lesion trimming at Prisma Health Tuomey Hospital

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 Paring Lesn Benign 1

SUMTER, SC

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Pricing by billing methodology

Price type

How this price compares nationally

Prisma Health Tuomey Hospital’s median price of $197 is 13% below the median hospital's median price ($226), higher than 35% of the 2,281 hospitals reporting CPT 11055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11055 at Prisma Health Tuomey Hospital

Negotiated rates from the hospital’s own file: 14 payers, 29 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 ph north carolina medicaid percent of total billed charges · bothfrom % of charges	$51	$51	—	—	—	$51 – $51
2	WellCare ph north carolina medicaid percent of total billed charges · bothfrom % of charges	$51	$51	—	—	—	$51 – $51
3	Blue Cross Blue Shield phm hb bcbs sc tuomey fee schedule · both	$78	$78	—	—	1–10	$78 – $78
4	Blue Cross Blue Shield phm hb blues exchange - tuomey fee schedule · both	$78	$78	—	—	—	$78 – $78
5	Blue Cross Blue Shield phm hb bcbs state tuomey fee schedule · both	$176	$176	—	—	—	$176 – $176
6	Tricare phm hb tricare - tuomey other · both	$186	$186	—	—	—	$186 – $186
7	Blue Cross Blue Shield phm hb 100% of medicare - tuomey other · both	$188	$188	—	—	—	$188 – $188
8	Cigna phm hb 100% of medicare - tuomey other · both	$188	$188	—	—	—	$188 – $188
9	Devoted phm hb 100% of medicare - tuomey other · both	$188	$188	—	—	—	$188 – $188
10	Humana phm hb 100% of medicare - tuomey other · both	$188	$188	—	—	—	$188 – $188
11	Medicare phm hb medicare - tuomey other · both	$188	$188	—	—	—	$188 – $188
12	WellCare phm hb absolute total care medicare tuomey other · both	$193	$193	—	—	—	$193 – $193
13	UnitedHealthcare phm hb uhc medicare - tuomey other · both	$194	$194	—	—	—	$194 – $194
14	Aetna phm hb aetna ppo and prime hmo medicare - tuomey other · both	$197	$197	—	—	—	$197 – $197
15	Cigna phm hb 105% of medicare - tuomey other · both	$197	$197	—	—	—	$197 – $197
16	Molina phm hb 105% of medicare - tuomey other · both	$197	$197	—	—	—	$197 – $197
17	WellCare phm hb 105% of medicare - tuomey other · both	$197	$197	—	—	—	$197 – $197
18	Aetna phm hb aetna sc preferred percent of total billed charges · bothfrom % of charges	$213	$213	—	—	—	$213 – $213
19	Medcost ph hb medcost benefit services percent of total billed charges · bothfrom % of charges	$246	$246	—	—	—	$246 – $246
20	Humana phm choicecare - midlands percent of total billed charges · bothfrom % of charges	$250	$250	—	—	—	$250 – $250
21	Cigna phm hb cigna - tuomey percent of total billed charges · bothfrom % of charges	$255	$255	—	—	—	$255 – $255
22	Aetna phm hb aetna commercial - tuomey percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
23	Medcost ph hb medcost percent of total billed charges · bothfrom % of charges	$276	$276	—	—	—	$276 – $276
24	MultiPlan ph hb multiplan percent of total billed charges · bothfrom % of charges	$296	$296	—	—	—	$296 – $296
25	First Health phm hb aetna first health (aka rental) - tuomey percent of total billed charges · bothfrom % of charges	$310	$310	—	—	—	$310 – $310

Page 1 of 2 · 29 rates

Last updated: Mar 1, 2026

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