Large cancerous lesion removal, scalp, neck, hands, feet, genitals at Sebasticook Valley Health

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Exc s/n/h/f/g mal+mrg >4 cm

Pittsfield, ME

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Pricing by billing methodology

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How this price compares nationally

Sebasticook Valley Health’s median price of $595 is 80% below the median hospital's median price ($3.0k), higher than 15% of the 1,992 hospitals reporting CPT 11626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11626 at Sebasticook Valley Health

Negotiated rates from the hospital’s own file: 5 payers, 30 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 mcr advantage professional · fee schedule · outpatient	$253	$253	$41	16%	—	$212 – $294
2	Anthem mcr advantage professional · fee schedule · outpatient	$253	$253	$41	16%	—	$212 – $294
3	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$258	$258	$42	16%	—	$216 – $299
4	WellCare mcr advantage professional · fee schedule · outpatient	$258	$258	$42	16%	—	$216 – $299
5	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$445	$413	$46	11%	—	$348 – $445
6	Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$445	$413	$46	11%	—	$348 – $445
7	UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$445	$413	$46	11%	—	$348 – $445
8	WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$445	$413	$46	11%	—	$348 – $445
9	Aetna mcr advantage facility · case rate · outpatient	$431	$431	—	—	—	$431 – $431
10	UnitedHealthcare mcr advantage facility · case rate · outpatient	$431	$431	—	—	—	$431 – $431
11	WellCare mcr advantage facility · case rate · outpatient	$431	$431	—	—	—	$431 – $431
12	Anthem mcr advantage facility · case rate · outpatient	$435	$435	—	—	—	$435 – $435
13	Aetna commercial professional · fee schedule · outpatient	$442	$442	$72	16%	—	$371 – $514
14	UnitedHealthcare commercial professional · fee schedule · outpatient	$470	$470	$72	15%	—	$398 – $541
15	Cigna commercial professional · fee schedule · outpatient	$606	$606	$105	17%	—	$501 – $711
16	Anthem commercial professional · fee schedule · outpatient	$658	$658	$109	17%	—	$549 – $766
17	Anthem enhanced pathways professional · fee schedule · outpatient	$658	$658	$109	17%	—	$549 – $766
18	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$761	$706	$78	11%	—	$595 – $761
19	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$761	$706	$78	11%	—	$595 – $761
20	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$761	$706	$78	11%	—	$595 – $761
21	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$761	$706	$78	11%	—	$595 – $761
22	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$790	$733	$81	11%	—	$618 – $790
23	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$849	$787	$87	11%	—	$663 – $849
24	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$874	$810	$90	11%	—	$683 – $874
25	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$874	$810	$90	11%	—	$683 – $874

Page 1 of 2 · 30 rates

Last updated: Mar 30, 2026

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