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 12.6-20CM
Elgin, IL
See all hospitals reporting CPT 12016 →Price type
Advocate Sherman Hospital’s median price of $580 is 12% above the median hospital's median price ($516), higher than 56% of the 2,109 hospitals reporting CPT 12016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $340.26 | $340.26 | $327.42 – $353.10 |
| 2 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $372.36 | $372.36 | $372.36 – $372.36 |
| 3 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $524.30 | $524.30 | $524.30 – $524.30 |
| 4 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $533.93 | $533.93 | $533.93 – $533.93 |
| 5 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $556.40 | $556.40 | $556.40 – $556.40 |
| 6 | Ambetter medicare advantage case rate · outpatient | $603.89 | $603.89 | $603.89 – $603.89 |
| 7 | Molina medicare advantage case rate · outpatient | $603.89 | $603.89 | $603.89 – $603.89 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $619.21 | $619.21 | $619.21 – $619.21 |
| 9 | Oscar medicare advantage case rate · outpatient | $624.72 | $624.72 | $624.72 – $624.72 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $963.00 | $963.00 | $963.00 – $963.00 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $963.00 | $963.00 | $963.00 – $963.00 |
Last updated: Nov 4, 2025
See Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.