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
Parkston, SD
See all hospitals reporting CPT 12054 →Price type
Avera St. Benedicts’s median price of $446 is 20% below the median hospital's median price ($560), higher than 32% of the 2,190 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, 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 | $327 | $327 | — | — | — | $327 – $327 |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $335 | $335 | — | — | — | $335 – $335 |
| 3 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $347 | $347 | — | — | — | $347 – $347 |
| 4 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $347 | $347 | — | — | — | $347 – $347 |
| 5 | Medica com percent of total billed charges · inpatientfrom % of charges | $388 | $388 | — | — | — | $388 – $388 |
| 6 | Medica com percent of total billed charges · outpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $429 | $429 | — | — | — | $429 – $429 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $429 | $429 | — | — | — | $429 – $429 |
| 9 | Medica com fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 10 | Medica ind fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 11 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 12 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 13 | Wellmark ppo fee schedule · both | $481 | $481 | — | — | — | $481 – $481 |
| 14 | Healthpartners com fee schedule · both | $490 | $490 | — | — | — | $490 – $490 |
| 15 | 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.