Simple repair of facial wound up to 2.5 cm at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RPR F/E/E/N/L/M 2.5 CM/<

Austin, TX

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How this price compares nationally

Ascension Seton’s median price of $193 is 29% below the median hospital's median price ($272), higher than 20% of the 2,366 hospitals reporting CPT 12011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12011 at Ascension Seton

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$113.84	$113.84	$113.84 – $113.84
2	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$125.81	$125.81	$125.81 – $125.81
3	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$167.74	$167.74	$167.74 – $167.74
4	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$167.74	$167.74	$167.74 – $167.74
5	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$179.97	$179.97	$179.97 – $179.97
6	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$192.56	$192.56	$192.56 – $192.56
7	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$192.56	$192.56	$192.56 – $192.56
8	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$192.56	$192.56	$192.56 – $192.56
9	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$192.56	$192.56	$192.56 – $192.56
10	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$192.56	$192.56	$192.56 – $192.56
11	Tricare 4696_tricare inpatient 20251001 other · inpatient	$192.56	$192.56	$192.56 – $192.56
12	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$192.56	$192.56	$192.56 – $192.56
13	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$192.56	$192.56	$192.56 – $192.56
14	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$196.41	$196.41	$196.41 – $196.41
15	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$196.41	$196.41	$196.41 – $196.41
16	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$204.43	$204.43	$204.43 – $204.43
17	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$346.61	$346.61	$346.61 – $346.61
18	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$346.61	$346.61	$346.61 – $346.61
19	Humana 206_humana hmo custom 20140201 other · outpatient	$969.15	$969.15	$969.15 – $969.15
20	Oscar 4511_oscar health plan 20251001 other · both	$1,000	$1,000	$1,000 – $1,000

Last updated: Jan 1, 2026

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