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
Repair Lac Interm 5.1-7.5 CM
De Smet, SD
See all hospitals reporting CPT 12053 →Price type
Avera DeSmet’s median price of $465 is 11% below the median hospital's median price ($520), higher than 40% of the 2,257 hospitals reporting CPT 12053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 ind percent of total billed charges · inpatientfrom % of charges | $374 | $374 | — | — | — | $374 – $374 |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $383 | $383 | — | — | — | $383 – $383 |
| 3 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $420 | $420 | — | — | — | $420 – $420 |
| 4 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $420 | $420 | — | — | — | $420 – $420 |
| 5 | Medica com percent of total billed charges · inpatientfrom % of charges | $445 | $445 | — | — | — | $445 – $445 |
| 6 | Medica com percent of total billed charges · outpatientfrom % of charges | $455 | $455 | — | — | — | $455 – $455 |
| 7 | Medica com fee schedule · both | $459 | $459 | — | — | — | $459 – $459 |
| 8 | Medica ind fee schedule · both | $459 | $459 | — | — | — | $459 – $459 |
| 9 | Wellmark ppo fee schedule · both | $471 | $471 | — | — | — | $471 – $471 |
| 10 | Healthpartners com fee schedule · both | $485 | $485 | — | — | — | $485 – $485 |
| 11 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 12 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 13 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 14 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 15 | UnitedHealthcare com fee schedule · both | $600 | $600 | — | — | — | $600 – $600 |
Last updated: Apr 1, 2026
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.