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
SIM SURG REPAIR FACE 2.6 TO 5.0CM
Low
$26
Average
$297
Median
$277
High
$965
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
104 hospitals; the 90th percentile is 16.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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228 hospital rates
iThe hospitals that file a Sanford Health Plan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 4 | $336 | $338 | $35 | 10% | 2–20 | $290 – $389 |
| 2 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · inpatientfrom % of charges | 1 | $234 | $234 | — | — | 1–10 | $234 – $234 |
| 3 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 1–10 | $234 – $234 |
| 4 | Sanford Aberdeen Medical Center Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 4 | $283 | $284 | $30 | 10% | 1–10 | $244 – $327 |
| 5 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $363 | $83 | 23% | 1–10 | $214 – $461 |
| 6 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 5 | $338 | $342 | $58 | 17% | 1–10 | $239 – $397 |
| 7 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 5 | $280 | $265 | $49 | 18% | 1–10 | $183 – $329 |
| 8 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $280 | $280 | $41 | 15% | — | $239 – $321 |
| 9 | Astera Health Wadena, MN fee schedule · inpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 10 | Astera Health Wadena, MN fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 11 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 12 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 2 | $35 | $35 | $10 | 29% | — | $24 – $45 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $35 | $35 | $10 | 29% | — | $24 – $45 |
| 15 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 2 | $35 | $35 | $10 | 29% | — | $24 – $45 |
| 16 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $35 | $35 | $10 | 29% | — | $24 – $45 |
| 17 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $29 | $29 | $9 | 29% | — | $21 – $38 |
| 18 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $258 | $258 | $7 | 3% | — | $251 – $264 |
| 19 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 2 | $352 | $352 | — | — | — | $352 – $352 |
| 20 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $216 | $216 | $6 | 3% | — | $211 – $222 |
| 21 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $216 | $6 | 3% | — | $211 – $222 |
| 22 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 2 | $352 | $352 | — | — | — | $352 – $352 |
| 23 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 2 | $216 | $216 | $6 | 3% | — | $211 – $222 |
| 24 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $216 | $6 | 3% | — | $211 – $222 |
| 25 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $258 | $258 | $7 | 3% | — | $251 – $264 |
← Payers reporting CPT 12013 · Snapshot 20261113T090226Z-3ce6c0b8