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
HC REPAIR SUPERFICL WND - FACE, 2.5 CM OR LESS
Grapevine, TX
See all hospitals reporting CPT 12011 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $372 is 37% above the median hospital's median price ($272), higher than 65% of the 2,366 hospitals reporting CPT 12011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 39 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 | Cigna local plus facility · case rate · outpatient | $111.00 | $111.00 | $111.00 – $111.00 |
| 2 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $113.04 | $113.04 | $113.04 – $113.04 |
| 3 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $115.30 | $115.30 | $115.30 – $115.30 |
| 4 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $120.96 | $120.96 | $120.96 – $120.96 |
| 5 | Cigna hmo/ppo facility · case rate · outpatient | $130.00 | $130.00 | $130.00 – $130.00 |
| 6 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $191.79 | $191.79 | $191.79 – $191.79 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $201.88 | $201.88 | $201.88 – $201.88 |
| 8 | Humana medicare facility · fee schedule · outpatient | $201.88 | $201.88 | $201.88 – $201.88 |
| 9 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $211.97 | $211.97 | $211.97 – $211.97 |
| 10 | Superior Healthplan medicare facility · fee schedule · outpatient | $211.97 | $211.97 | $211.97 – $211.97 |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $226.11 | $226.11 | $226.11 – $226.11 |
| 12 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $242.26 | $242.26 | $242.26 – $242.26 |
| 13 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $253.36 | $253.36 | $253.36 – $253.36 |
| 14 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $271.31 | $271.31 | $263.77 – $278.84 |
| 15 | Blue Cross Blue Shield blue advantage facility · case rate · outpatient | $295.29 | $295.29 | $295.29 – $295.29 |
| 16 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $333.10 | $333.10 | $333.10 – $333.10 |
| 17 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $371.53 | $371.53 | $371.53 – $371.53 |
| 18 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $371.53 | $371.53 | $371.53 – $371.53 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $414.49 | $414.49 | $414.49 – $414.49 |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient | $417.60 | $417.60 | $417.60 – $417.60 |
| 21 | Ambetter ambetter exchange facility · fee schedule · outpatient | $434.04 | $434.04 | $434.04 – $434.04 |
| 22 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $437.10 | $437.10 | $437.10 – $437.10 |
| 23 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $437.10 | $437.10 | $437.10 – $437.10 |
| 24 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $468.68 | $468.68 | $468.68 – $468.68 |
| 25 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $468.68 | $468.68 | $468.68 – $468.68 |
Last updated: Jun 29, 2026
See Simple repair of facial wound up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.