Layered wound repair, face or mucous membrane, 5.1-7.5 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INTMD RPR FACE/MM 5.1-7.5 CM

Austin, TX

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How this price compares nationally

Ascension Seton’s median price of $383 is 26% below the median hospital's median price ($520), higher than 18% of the 2,253 hospitals reporting CPT 12053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12053 at Ascension Seton

Negotiated rates from the hospital’s own file: 9 payers, 34 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
4	Blue Cross Blue Shield 4172_blue cross chip (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
5	Blue Cross Blue Shield 4172_blue cross chip/star kids (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
6	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
7	Blue Cross Blue Shield 4223_chirp blue cross star (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
8	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
9	Blue Cross Blue Shield 5011_blue cross star kids (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
10	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
11	UnitedHealthcare 4257_chirp uhc star (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
12	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
13	UnitedHealthcare 4268_chirp uhc star plus (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
14	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
15	UnitedHealthcare 4315_uhc star kids (nw) outpatient 20241201 fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
16	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
17	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
18	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
19	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
20	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
21	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$387	$387	—	—	—	$387 – $387
22	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$387	$387	—	—	—	$387 – $387
23	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$387	$387	—	—	—	$387 – $387
24	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$387	$387	—	—	—	$387 – $387
25	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$387	$387	—	—	—	$387 – $387

Page 1 of 2 · 34 rates

Last updated: Jan 1, 2026

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See Layered wound repair, face or mucous membrane, 5.1-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.