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 SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM
Irving, TX
See all hospitals reporting CPT 12011 →Price type
Baylor Scott & White Medical Center - Irving’s median price of $403 is 48% above the median hospital's median price ($272), higher than 70% 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, 28 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $82.90 | $82.90 | $82.90 – $82.90 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $88.70 | $88.70 | $88.70 – $88.70 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $191.47 | $191.47 | $191.47 – $191.47 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $201.55 | $201.55 | $201.55 – $201.55 |
| 5 | Humana medicare facility · fee schedule · outpatient | $201.55 | $201.55 | $201.55 – $201.55 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $211.63 | $211.63 | $211.63 – $211.63 |
| 7 | Superior Healthplan medicare facility · fee schedule · outpatient | $211.63 | $211.63 | $211.63 – $211.63 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $225.74 | $225.74 | $225.74 – $225.74 |
| 9 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $241.86 | $241.86 | $241.86 – $241.86 |
| 10 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $252.95 | $252.95 | $252.95 – $252.95 |
| 11 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $271.31 | $271.31 | $263.77 – $278.84 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $332.56 | $332.56 | $332.56 – $332.56 |
| 13 | 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 |
| 14 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $371.53 | $371.53 | $371.53 – $371.53 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $414.49 | $414.49 | $414.49 – $414.49 |
| 16 | Ambetter ambetter exchange facility · fee schedule · outpatient | $433.33 | $433.33 | $433.33 – $433.33 |
| 17 | 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 |
| 18 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $437.10 | $437.10 | $437.10 – $437.10 |
| 19 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $468.68 | $468.68 | $468.68 – $468.68 |
| 20 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $468.68 | $468.68 | $468.68 – $468.68 |
| 21 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $474.78 | $474.78 | $391.88 – $557.68 |
| 22 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $516.23 | $516.23 | $504.93 – $527.53 |
| 23 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $520.75 | $520.75 | $520.75 – $520.75 |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $527.53 | $527.53 | $527.53 – $527.53 |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $527.53 | $527.53 | $527.53 – $527.53 |
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.