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 EXC BN LS W/MRG TALO 2.1-3.0CM
Hanover, PA
See all hospitals reporting CPT 11403 →Price type
UPMC Hanover’s median price of $967 is 18% above the median hospital's median price ($816), higher than 60% of the 2,344 hospitals reporting CPT 11403. 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, 19 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $523 | $523 | — | — | — | $523 – $523 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $665 | $665 | — | — | — | $665 – $665 |
| 4 | Humana medicare facility · fee schedule · outpatient | $672 | $672 | — | — | — | $672 – $672 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $719 | $719 | — | — | — | $719 – $719 |
| 8 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $768 | $768 | — | — | — | $768 – $768 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | $1.1k | 93% | — | $83 – $2.2k |
| 10 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | Highmark commercial facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Mar 6, 2026
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