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
EXC MAL LES SNHFG >4.0CM
Pittsburgh, PA
See all hospitals reporting CPT 11626 →Price type
UPMC Presbyterian’s median price of $2.9k is about the same as the median hospital's median price ($3.0k), higher than 49% of the 1,992 hospitals reporting CPT 11626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 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 chip/medicaid facility · fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 4 | Highmark medicare advantage facility · fee schedule · outpatient | $737 | $737 | — | — | — | $737 – $737 |
| 5 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 6 | MultiPlan worker's compensation facility · fee schedule · outpatient | $935 | $935 | — | — | — | $935 – $935 |
| 7 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Highmark managed care facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 10 | Cigna medicare transplant facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | Highmark medicare facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 13 | Aetna medicare facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 15 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 16 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 17 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 18 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 19 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 21 | Highmark upmc emergent facility · fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 22 | Highmark commercial - indemnity facility · fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Mar 6, 2026
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