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
Intmd rpr face/mm 2.6-5.0 cm
Devils Lake, ND
See all hospitals reporting CPT 12052 →Price type
Altru Hospital Devils Lake’s median price of $470 is 7% below the median hospital's median price ($508), higher than 43% of the 2,395 hospitals reporting CPT 12052. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $242 | $242 | $123 | 51% | — | $119 – $365 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $242 | $242 | $123 | 51% | — | $119 – $365 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $335 | $335 | $120 | 36% | — | $215 – $455 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 6 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $568 | $568 | $83 | 15% | — | $485 – $651 |
| 7 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $724 | $724 | — | — | — | $724 – $724 |
| 8 | Medica all commercial plans facility · fee schedule · outpatient | $806 | $806 | $456 | 57% | — | $350 – $1.3k |
| 9 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $813 | $813 | — | — | — | $813 – $813 |
| 10 | Aetna all commercial plans facility · fee schedule · outpatient | $748 | $1.1k | $676 | 64% | — | $436 – $2k |
Last updated: Mar 1, 2026
See Intermediate repair of face and mouth wound, 2.6-5.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.