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 7.6-12.5cm
Devils Lake, ND
See all hospitals reporting CPT 12054 →Price type
Altru Hospital Devils Lake’s median price of $470 is 15% below the median hospital's median price ($554), higher than 36% of the 2,222 hospitals reporting CPT 12054. 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 | $247 | $247 | $118 | 48% | — | $129 – $365 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $247 | $247 | $118 | 48% | — | $129 – $365 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $344 | $344 | $111 | 32% | — | $233 – $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 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $813 | $813 | — | — | — | $813 – $813 |
| 9 | Medica all commercial plans facility · fee schedule · outpatient | $821 | $821 | $441 | 54% | — | $379 – $1.3k |
| 10 | Aetna all commercial plans facility · fee schedule · outpatient | $748 | $1.2k | $908 | 74% | — | $436 – $2.5k |
Last updated: Mar 1, 2026
See Intermediate repair of face wound, 7.6-12.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.