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
Waco, TX
See all hospitals reporting CPT 12016 →Price type
Ascension Providence’s median price of $392 is 24% below the median hospital's median price ($516), higher than 22% 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, 21 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 975_bcbs star outpatient 20241201 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 2 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 3 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 4 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 5 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 6 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 7 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 8 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $255.61 | $255.61 | $255.61 – $255.61 |
| 9 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 fee schedule · outpatient | $319.51 | $319.51 | $319.51 – $319.51 |
| 10 | Tricare 877_tricare outpatient 20250101 other · outpatient | $391.57 | $391.57 | $391.57 – $391.57 |
| 11 | Tricare 986_tricare inpatient 20251001 other · inpatient | $391.57 | $391.57 | $391.57 – $391.57 |
| 12 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $391.57 | $391.57 | $391.57 – $391.57 |
| 13 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $391.57 | $391.57 | $391.57 – $391.57 |
| 14 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $399.40 | $399.40 | $399.40 – $399.40 |
| 15 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $399.40 | $399.40 | $399.40 – $399.40 |
| 16 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $399.40 | $399.40 | $399.40 – $399.40 |
| 17 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $399.40 | $399.40 | $399.40 – $399.40 |
| 18 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $543.17 | $543.17 | $543.17 – $543.17 |
| 19 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $587.36 | $587.36 | $587.36 – $587.36 |
| 20 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $587.36 | $587.36 | $587.36 – $587.36 |
| 21 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $603.87 | $603.87 | $603.87 – $603.87 |
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.