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
Simple Repair Surface Wound F/E/E/N/L/M 2.5cm/<, Professional
Lebanon, NH
See all hospitals reporting CPT 12011 →Price type
Alice_peck_day_memorial_hospital’s median price of $281 is 3% above the median hospital's median price ($272), higher than 51% 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: 7 payers, 16 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 | Ambetter nh healthy families ambetter fee schedule · outpatient | $30.45 | $30.45 | $30.45 – $30.45 |
| 2 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $179.47 | $179.47 | $179.47 – $179.47 |
| 3 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $179.47 | $179.47 | $179.47 – $179.47 |
| 4 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $251.27 | $251.27 | $251.27 – $251.27 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $256.06 | $256.06 | $256.06 – $256.06 |
| 6 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $261.36 | $261.36 | $261.36 – $261.36 |
| 7 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $261.36 | $261.36 | $261.36 – $261.36 |
| 8 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $278.06 | $278.06 | $278.06 – $278.06 |
| 9 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $280.60 | $280.60 | $280.60 – $280.60 |
| 10 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $285.32 | $285.32 | $285.32 – $285.32 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $293.30 | $293.30 | $293.30 – $293.30 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $296.93 | $296.93 | $296.93 – $296.93 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $311.09 | $311.09 | $311.09 – $311.09 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $323.07 | $323.07 | $323.07 – $323.07 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $326.70 | $326.70 | $326.70 – $326.70 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $377.52 | $377.52 | $377.52 – $377.52 |
Last updated: Jan 1, 2026
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.