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 7.6-12.5 CM
Mitchell, SD
See all hospitals reporting CPT 12054 →Price type
Avera Queen of Peace’s median price of $446 is 20% below the median hospital's median price ($554), higher than 33% of the 2,222 hospitals reporting CPT 12054. 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, 12 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 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $313 | $313 | — | — | — | $313 – $313 |
| 2 | Medica ind percent of total billed charges · inpatientfrom % of charges | $361 | $361 | — | — | — | $361 – $361 |
| 3 | Medica ind percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 4 | Medica com percent of total billed charges · inpatientfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 5 | Medica com percent of total billed charges · outpatientfrom % of charges | $429 | $429 | — | — | — | $429 – $429 |
| 6 | Medica com fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 7 | Medica ind fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 8 | Wellmark ppo fee schedule · both | $481 | $481 | — | — | — | $481 – $481 |
| 9 | Healthpartners com fee schedule · both | $490 | $490 | — | — | — | $490 – $490 |
| 10 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 11 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 12 | UnitedHealthcare com fee schedule · both | $607 | $607 | — | — | — | $607 – $607 |
Last updated: Apr 1, 2026
See Intermediate repair of face wound, 7.6-12.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.