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
SIMP LAC FACE 12.6-20CM
Hazard, KY
See all hospitals reporting CPT 12016 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $325 is 37% below the median hospital's median price ($516), higher than 13% 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, 14 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 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $122.30 | $122.30 | $122.30 – $122.30 |
| 2 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $122.30 | $122.30 | $122.30 – $122.30 |
| 3 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $122.30 | $122.30 | $122.30 – $122.30 |
| 4 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $122.30 | $122.30 | $122.30 – $122.30 |
| 5 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $130.80 | $130.80 | $130.80 – $130.80 |
| 6 | Aetna medicare other · outpatient | $324.69 | $324.69 | $324.69 – $324.69 |
| 7 | Anthem medicare advantage other · outpatient | $324.69 | $324.69 | $324.69 – $324.69 |
| 8 | Humana medicare other · outpatient | $324.69 | $324.69 | $324.69 – $324.69 |
| 9 | Optum veterans affairs plan other · outpatient | $324.69 | $324.69 | $324.69 – $324.69 |
| 10 | UnitedHealthcare medicare other · outpatient | $324.69 | $324.69 | $324.69 – $324.69 |
| 11 | WellCare medicare other · outpatient | $324.69 | $324.69 | $324.69 – $324.69 |
| 12 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $403.30 | $403.30 | $403.30 – $403.30 |
| 13 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $464.59 | $464.59 | $452.68 – $476.49 |
| 14 | Aetna commercial percent of total billed charges · bothfrom % of charges | $490.50 | $490.50 | $490.50 – $490.50 |
Last updated: Jan 1, 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.