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 Medicaid 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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119 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $101.00 | $46.00 – $155.99 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $101.00 | $46.00 – $155.99 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $155.99 | $155.99 – $155.99 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $308.57 | $308.57 – $308.57 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $249.61 | $249.61 – $249.61 |
| 6 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $126.48 | $120.46 – $132.50 |
| 7 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $126.48 | $120.46 – $132.50 |
| 8 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $320.19 | $320.19 – $320.19 |
| 9 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $589.70 | $212.11 – $1,085 |
| 10 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 2 | $226.44 | $127.71 – $325.17 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $92.00 | $92.00 – $92.00 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $102.62 | $102.62 – $102.62 |
| 13 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $240.56 | $240.56 – $240.56 |
| 14 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $179.00 | $179.00 – $179.00 |
| 15 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $124.56 | $124.56 – $124.56 |
| 16 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $92.00 | $92.00 – $92.00 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $121.99 | $121.99 – $121.99 |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $169.28 | $169.28 – $169.28 |
| 19 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $282.18 | $282.18 – $282.18 |
| 20 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $282.18 | $282.18 – $282.18 |
| 21 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $647.56 | $647.56 – $647.56 |
| 22 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $80.54 | $80.54 – $80.54 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $218.48 | $218.48 – $218.48 |
| 24 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $26.00 | $26.00 – $26.00 |
| 25 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
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