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 FINE NEEDLE ASP BX INCL MR 1ST LESION
Somerset, PA
See all hospitals reporting CPT 10011 →Price type
UPMC Somerset’s median price of $874 is 5% below the median hospital's median price ($919), higher than 45% of the 1,679 hospitals reporting CPT 10011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 | Highmark medicare advantage facility · fee schedule · outpatient | $75.31 | $75.31 | $75.31 – $75.31 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $154.11 | $154.11 | $154.11 – $154.11 |
| 3 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $154.38 | $154.38 | $154.38 – $154.38 |
| 4 | Highmark medicaid facility · fee schedule · outpatient | $172.23 | $172.23 | $172.23 – $172.23 |
| 5 | Highmark community blue medicare advantage/complete blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $664.08 | $664.08 | $664.08 – $664.08 |
| 6 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $670.79 | $670.79 | $670.79 – $670.79 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $670.79 | $670.79 | $670.79 – $670.79 |
| 8 | Highmark medicare facility · fee schedule · outpatient | $724.39 | $724.39 | $724.39 – $724.39 |
| 9 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $994.85 | $994.85 | $994.85 – $994.85 |
| 10 | Aetna tpa/carrier facility · percent of total billed charges · outpatientfrom % of charges | $998.80 | $998.80 | $998.80 – $998.80 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,076 | $1,076 | $1,076 – $1,076 |
| 12 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $1,249 | $1,249 | $1,249 – $1,249 |
| 13 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $1,259 | $1,259 | $1,259 – $1,259 |
| 14 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $1,623 | $1,623 | $1,623 – $1,623 |
| 15 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
| 16 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
Last updated: Mar 6, 2026
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