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 RESUPERF WND FACE 12.6-20 CM
The hospitals that file a Carefirst 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.
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24 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $429.57 | $429.57 – $429.57 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $519.48 | $359.64 – $679.32 |
| 3 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $98.98 | $72.52 – $118.11 |
| 4 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 5 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 6 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 7 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 8 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 9 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $480.23 | $480.23 – $480.23 |
| 10 | MedStar Washington Hospital Center NW, WA facility · case rate · outpatient | 2 | $1,912 | $1,762 – $2,061 |
| 11 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $480.23 | $480.23 – $480.23 |
| 12 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $1,209 | $1,209 – $1,209 |
| 13 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $425.91 | $425.91 – $425.91 |
| 14 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $465.17 | $403.42 – $526.92 |
| 15 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $502.22 | $502.22 – $502.22 |
| 16 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $865.00 | $805.00 – $925.00 |
| 17 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $968.00 | $968.00 – $968.00 |
| 18 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $968.00 | $968.00 – $968.00 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $86.64 | $45.95 – $124.31 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $90.80 | $54.06 – $124.31 |
| 21 | UPMC Hanover Hanover, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,743 | $1,743 – $1,743 |
| 22 | UPMC Hanover Hanover, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,743 | $1,743 – $1,743 |
| 23 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 2 | $418.17 | $418.17 – $418.17 |
| 24 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 2 | $418.17 | $418.17 – $418.17 |
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