Removal of Skin and Tissue, 20.0 Sq Cm or Less Cost in Pennsylvania

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 81 Pennsylvania hospitals. CPT 11042. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $535 📉 Low $30.60 📈 High $4,267 🏥 81 hospitals 🏛️ 59 with insurance contracts 🇺🇸 Medicare $131

Hospital comparison — Pennsylvania

Sorted by cash price (lowest first). Showing top 60 of 81 hospitals.

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HospitalCashAetnaCignaUHCMedicareHumanaMedicaidBCBSTRICARE
AHN SAINT VINCENT HOSPITAL
ERIE
$30.60 $36.30$96.14$47.85$59.95$461—$456—
AHN JEFFERSON HOSPITAL
JEFFERSON HILLS
$32.30 $39.60$96.14$47.85$59.95$407———
AHN FORBES HOSPITAL
MONROEVILLE
$37.40 $39.60$96.14$47.85$59.95$407———
AHN CANONSBURG GENERAL HOSPITAL
CANONSBURG
$37.40 $33.00$96.14$47.85$59.95$407———
AHN ALLEGHENY VALLEY HOSPITAL
NATRONA HEIGHTS
$39.10 $33.00$96.14$47.85$59.95$407———
AHN GROVE CITY MEDICAL CENTER
GROVE CITY
$39.10 $33.00$96.14$47.85$59.95$407———
AHN ALLEGHENY GENERAL HOSPITAL
PITTSBURGH
$40.80 $39.60$96.14$47.85$59.95$407———
AHN WEXFORD HOSPITAL
WEXFORD
$44.20 $400$96.14$47.85$59.95$407———
WEST PENN HOSPITAL
PITTSBURGH
$45.90 $39.60$96.14$47.85$59.95$407———
UPMC WELLSBORO
WELLSBORO
$48.80 ————————
ST MARY MEDICAL CENTER
LANGHORNE
$131 ————————
NAZARETH HOSPITAL
PHILADELPHIA
$131 ————————
WARREN GENERAL HOSPITAL
CRESCENT PARK WEST WARREN
$195 $63.00$60.00$100—$101—$100$60.00
BUCKTAIL MEDICAL CENTER
RENOVO
$202 $62.11$300—$60.87$61.48—$175—
GUTHRIE ROBERT PACKER HOSPITAL, TOWANDA CAMPUS
TOWANDA
$203 ————————
GUTHRIE TROY COMMUNITY HOSPITAL
TROY
$203 ————————
GUTHRIE ROBERT PACKER HOSPITAL
SAYRE
$203 ————————
HERITAGE VALLEY SEWICKLEY
MCKEES ROCKS
$253 $33.00$158$158—————
HERITAGE VALLEY BEAVER
BEAVER
$253 $33.00$158$158—————
BARNES-KASSON COUNTY HOSPITAL
SUSQUEHANNA
$267 $40.00$53.53$42.91$40.00$30.86$8.82——
MERCY FITZGERALD HOSPITAL
DARBY
$285 ————————
WELLSPAN YORK HOSPITAL
YORK
$342 $112$382$403$391—$41.25——
WELLSPAN YORK HOSPITAL
YORK
$342 $112$382$403$391—$41.25——
FRED AND MINERVA BRAEMER HEART CENTER
PHILADELPHIA
$365 $432$424$415—$407———
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL
EAST NORRITON
$365 $419$411$403—$396———
ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL
BENSALEM
$383 ————————
LOWER BUCKS HOSPITAL
BRISTOL
$399 —$967$400$400$320$606$400$400
SUBURBAN COMMUNITY HOSPITAL
NORRISTOWN
$415 —$983$416$416$332$606$416$416
JEFFERSON ABINGTON HOSPITAL
ABINGTON
$459 $49.28$3,503$87.50$52.40—$33.00——
JEFFERSON BUCKS HOSPITAL
LANGHORNE
$462 $56.86$3,503$1,181——$44.65——
UNIONTOWN HOSPITAL
UNIONTOWN
$467 $60.00$90.00$86.20$394$414—$724—
JEFFERSON LANSDALE HOSPITAL
LANSDALE
$469 $56.86$3,503$1,181——$44.65——
FULTON COUNTY MEDICAL CENTER
PEACH ORCHARD RD. MC CONNELLSBURG
$478 $46.00$30.80$90.00$100$123—$40.00—
CLARION HOSPITAL
CLARION
$479 $396$384$384$384—$33.00—$384
THOMAS JEFFERSON UNIVERSITY HOSPITAL
PHILADELPHIA
$480 $62.54$6,300———$44.65——
JEFFERSON METHODIST HOSPITAL
PHILADELPHIA
$480 $62.54$6,300———$44.65——
JEFFERSON FRANKFORD HOSPITAL
PHILADELPHIA
$480 $56.86$3,503$1,181——$44.65——
JEFFERSON TORRESDALE HOSPITAL
PHILADELPHIA
$480 $56.86$3,503$1,181——$44.65——
MAGEE REHABILITATION HOSPITAL
PHILADELPHIA
$488 $43.59————$59.07——
WAYNE MEMORIAL HOSPITAL
PARK ST. HONESDALE
$535 $75.00$70.00$70.00—$100—$40.00$100
SURGICAL INSTITUTE OF READING
WYOMISSING
$586 $380—$1,492———$816$3,205
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
CAMP HILL
$620 ————————
PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER
BERNVILLE ROAD READING
$675 ————————
PENN STATE HEALTH LANCASTER MEDICAL CENTER
STATE ROAD LANCASTER
$753 ————————
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
ENOLA
$817 ————————
CONEMAUGH NASON MEDICAL CENTER
ROARING SPRING
$840 $100$41.20$100$100$100—$100$100
PAM SPECIALTY HOSPITAL OF WILKES-BARRE
WILKES-BARRE
$886 ————————
LATROBE HOSPITAL
LATROBE
$890 ————————
WESTMORELAND HOSPITAL
GREEENSBURG
$890 ————————
FRICK HOSPITAL
MT PLESANT
$890 ————————
CONEMAUGH MINERS MEDICAL CENTER
HAIDA AVENUE HASTINGS
$936 $20.80$61.60$20.00———$77.74$20.00
MOUNT NITTANY MEDICAL CENTER
STATE COLLEGE
$945 $466$466$475—$475—$485—
CONEMAUGH MEYERSDALE MEDICAL CENTER
HOSPITAL DRIVE MEYERSDALE
$950 $39.52$61.60$38.00———$734$38.00
PENN HIGHLANDS MON VALLEY HOSPITAL
COUNTRY CLUB RD. MONONGAHELA
$965 $35.64—$58.66$56.95$58.66$33.00$53.53—
WELLSPAN GOOD SAMARITAN HOSPITAL
LEBANON
$1,078 $112$860$414$395—$41.25——
AHN BRENTWOOD NEIGHBORHOOD HOSPITAL
GREENSBURG
$1,085 $412$424$412—$420———
WELLSPAN EPHRATA COMMUNITY HOSPITAL
EPHRATA
$1,103 $112$840$405$243—$41.25——
INDIANA REGIONAL MEDICAL CENTER
INDIANA
$1,122 ————————
PENN HIGHLANDS HUNTINGDON
HUNTINGDON
$1,172 $18.07—$40.19—$57.49———
PENN HIGHLANDS ELK
SAINT MARYS
$1,172 —$900——————
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 11042, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $513 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $535 for this?

That is the median of what the 81 Pennsylvania hospitals above publish for Removal of skin and tissue, 20.0 sq cm or less — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 11042 in Pennsylvania, Medicare reimburses about $131 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Pennsylvania range from $30.60 to $4,267 — that means hospital cash prices are typically 4.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does removal of skin and tissue, 20.0 sq cm or less cost in Pennsylvania?
Cash prices for removal of skin and tissue, 20.0 sq cm or less (CPT 11042) in Pennsylvania range from $30.60 to $4,267, with a median of $535. Prices vary widely by hospital.
Where can I find the cheapest removal of skin and tissue, 20.0 sq cm or less in Pennsylvania?
The cheapest Pennsylvania hospital published cash price for this procedure is $30.60. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?
These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?
Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?
Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Removal of skin and tissue, 20.0 sq cm or less in nearby states

Other procedures in Pennsylvania

Methodology. Cash prices and insurance-negotiated rates published by each Pennsylvania facility under federal price transparency rules (45 CFR § 180). CPT code 11042 (Surgery). Data refreshed regularly; verify with the facility before any procedure.