Skin lesion trimming at Santa Rosa Hospital - San Marcos

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

PARING/CUTG B9 HYPRKER LES 1

San Marcos, TX

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Pricing by billing methodology

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How this price compares nationally

Santa Rosa Hospital - San Marcos’s median price of $200 is 11% below the median hospital's median price ($226), higher than 38% 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 Santa Rosa Hospital - San Marcos

Negotiated rates from the hospital’s own file: 8 payers, 15 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	Cigna new business case rate · outpatient	$147	$147	—	—	—	$147 – $147
2	Humana choicecare other · outpatient	$159	$159	—	—	—	$159 – $159
3	Cigna ppo case rate · outpatient	$187	$187	—	—	—	$187 – $187
4	Humana mm fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
5	UnitedHealthcare mm fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
6	WellCare mm fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
7	Aetna mm fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
8	Cigna healthspring medicare advantage mm fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
9	Devoted mm fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
10	Bcbs Tx hmo fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
11	Bcbs Tx ppo fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
12	Bcbs Tx blue advantage hmo fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
13	Bcbs Tx heb fee schedule · outpatient	$439	$439	—	—	—	$439 – $439
14	Healthcare Highways ppo fee schedule · outpatient	$487	$487	—	—	—	$487 – $487
15	UnitedHealthcare all payer case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Last updated: Jan 13, 2026

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