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
RPR FE/E/EN/L/M 12.6-20.0 CM
Tustin, CA
See all hospitals reporting CPT 12016 →Price type
Alta Newport Hospital, LLC’s median price of $400 is 23% below the median hospital's median price ($516), higher than 25% 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: 8 payers, 17 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $2.11 | $2.11 | $2.11 – $2.11 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $2.42 | $2.42 | $2.42 – $2.42 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $2.64 | $2.64 | $2.64 – $2.64 |
| 4 | Aetna all gatekeeper plans facility · case rate · outpatient | $329.22 | $329.22 | $329.22 – $329.22 |
| 5 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $329.23 | $329.23 | $329.23 – $329.23 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 7 | Anthem medicare advantage facility · case rate · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 8 | Bcbs Ca medicare advantage facility · case rate · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 10 | Optum commercial hmo facility · case rate · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 11 | Optum medicare advantage facility · case rate · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 13 | Aetna exchange facility · case rate · outpatient | $519.39 | $519.39 | $519.39 – $519.39 |
| 14 | UnitedHealthcare managed care facility · case rate · outpatient | $587.00 | $587.00 | $587.00 – $587.00 |
| 15 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $1,030 | $1,030 | $1,030 – $1,030 |
| 16 | Anthem ppg facility · case rate · outpatient | $1,288 | $1,288 | $1,288 – $1,288 |
| 17 | Cigna hmo/ppo facility · case rate · outpatient | $2,432 | $2,432 | $2,432 – $2,432 |
Last updated: Mar 18, 2026
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.