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 F/E/E/N/L/M 2.5 CM/<
Waco, TX
See all hospitals reporting CPT 12011 →Price type
Ascension Providence’s median price of $199 is 27% below the median hospital's median price ($272), higher than 24% 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: 6 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 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $139.79 | $139.79 | $139.79 – $139.79 |
| 2 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 fee schedule · outpatient | $174.73 | $174.73 | $174.73 – $174.73 |
| 3 | Tricare 877_tricare outpatient 20250101 other · outpatient | $194.74 | $194.74 | $194.74 – $194.74 |
| 4 | Tricare 986_tricare inpatient 20251001 other · inpatient | $194.74 | $194.74 | $194.74 – $194.74 |
| 5 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $194.74 | $194.74 | $194.74 – $194.74 |
| 6 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $194.74 | $194.74 | $194.74 – $194.74 |
| 7 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $198.63 | $198.63 | $198.63 – $198.63 |
| 8 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $198.63 | $198.63 | $198.63 – $198.63 |
| 9 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $198.63 | $198.63 | $198.63 – $198.63 |
| 10 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $198.63 | $198.63 | $198.63 – $198.63 |
| 11 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $292.11 | $292.11 | $292.11 – $292.11 |
| 12 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $292.11 | $292.11 | $292.11 – $292.11 |
| 13 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $297.04 | $297.04 | $297.04 – $297.04 |
| 14 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $330.24 | $330.24 | $330.24 – $330.24 |
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.