Simple repair of face or neck wound, 2.6 to 5 cm at Avera DeSmet

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

Repair Lac Simple 2.6-5.0 CM

De Smet, SD

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How this price compares nationally

Avera DeSmet’s median price of $290 is 3% above the median hospital's median price ($282), higher than 51% of the 2,404 hospitals reporting CPT 12013. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12013 at Avera DeSmet

Negotiated rates from the hospital’s own file: 4 payers, 15 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	Medica com fee schedule · both	$115	$115	—	—	—	$115 – $115
2	Medica ind fee schedule · both	$115	$115	—	—	—	$115 – $115
3	Healthpartners com fee schedule · both	$122	$122	—	—	—	$122 – $122
4	Wellmark ppo fee schedule · both	$126	$126	—	—	—	$126 – $126
5	UnitedHealthcare com fee schedule · both	$158	$158	—	—	—	$158 – $158
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$244	$244	—	—	—	$244 – $244
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
8	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
9	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
10	Medica com percent of total billed charges · inpatientfrom % of charges	$290	$290	—	—	—	$290 – $290
11	Medica com percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	—	$296 – $296
12	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$320	$320	—	—	—	$320 – $320
13	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$320	$320	—	—	—	$320 – $320
14	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$356	$356	—	—	—	$356 – $356
15	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$356	$356	—	—	—	$356 – $356

Last updated: Apr 1, 2026

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