Price Checker / CPT 11755
How much does Biopsy Nail Unit cost?
CPT 11755 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 21x the fair price — among the most extreme markups. Dispute this.
Fair price
$180–$360
What this should cost
With insurance
~$2,250
Typical out-of-pocket
Overcharged if over
$450
Push back above this
The average hospital charge of $5,660 is $5,390 over the fair price (about 21x the fair rate).
What hospitals charge for Biopsy Nail Unit
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Parkland Health Center - Bonne Terre BONNE TERRE, MO | $17,700 | $10,620 | 14702% |
| UPMC Chautauqua , NY | $4,267 | $3,414 | 3468% |
| Edgerton Hospital and Health Services EDGERTON, WI | $2,158 | $1,575 | 1705% |
| EHHS Milton Clinic , WI | $2,158 | $1,575 | 1705% |
| EHHS Milton Clinic Medicare , WI | $2,016 | $1,472 | 1586% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Biopsy Nail Unit
CPT code 11755 refers to biopsy nail unit (billing description: "Biopsy nail unit"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $54 in a facility (hospital or surgery center) and $120 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.