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
REPAIR SMP FACE 0-2.5CM
Downers Grove, IL
See all hospitals reporting CPT 12011 →Price type
Advocate Good Samaritan Hospital’s median price of $442 is 63% above the median hospital's median price ($272), higher than 74% of the 2,366 hospitals reporting CPT 12011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare hmo other · outpatient | $100.70 | $100.70 | $100.70 – $100.70 |
| 2 | Ambetter medicare advantage case rate · outpatient | $300.34 | $300.34 | $300.34 – $300.34 |
| 3 | Molina medicare advantage case rate · outpatient | $300.34 | $300.34 | $300.34 – $300.34 |
| 4 | Oscar medicare advantage case rate · outpatient | $310.69 | $310.69 | $310.69 – $310.69 |
| 5 | Cigna commercial other · outpatient | $424.38 | $424.38 | $424.38 – $424.38 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $426.40 | $426.40 | $426.40 – $426.40 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $442.39 | $442.39 | $442.39 – $442.39 |
| 8 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $621.56 | $621.56 | $596.96 – $646.16 |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $633.86 | $633.86 | $633.86 – $633.86 |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $646.16 | $646.16 | $646.16 – $646.16 |
| 11 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $656.00 | $656.00 | $656.00 – $656.00 |
| 12 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $656.00 | $656.00 | $656.00 – $656.00 |
| 13 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $679.78 | $679.78 | $679.78 – $679.78 |
Last updated: Nov 4, 2025
See Simple repair of facial wound up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.