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
Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm
Falls, MT
See all hospitals reporting CPT 12016 →Price type
Benefis Hospitals Inc’s median price of $415 is 20% below the median hospital's median price ($516), higher than 31% of the 2,109 hospitals reporting CPT 12016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 30 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 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $160.26 | $160.26 | $160.26 – $160.26 |
| 2 | Cigna bhs hb allegiance fee schedule · outpatient | $200.33 | $200.33 | $200.33 – $200.33 |
| 3 | Healthpartners bhs hb allegiance fee schedule · outpatient | $200.33 | $200.33 | $200.33 – $200.33 |
| 4 | Kaiser bhs hb allegiance fee schedule · outpatient | $200.33 | $200.33 | $200.33 – $200.33 |
| 5 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $200.33 | $200.33 | $200.33 – $200.33 |
| 6 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $299.70 | $299.70 | $299.70 – $299.70 |
| 7 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $299.70 | $299.70 | $299.70 – $299.70 |
| 8 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $299.70 | $299.70 | $299.70 – $299.70 |
| 9 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $299.70 | $299.70 | $299.70 – $299.70 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $368.88 | $368.88 | $216.45 – $521.30 |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $389.87 | $389.87 | $228.77 – $550.97 |
| 12 | Aetna bhs hb medicare other · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 13 | Anthem bhs hb medicare other · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 14 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 15 | Kaiser bhs hb medicare other · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 16 | Medicare bhs hb medicare other · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 17 | WellCare bhs hb medicare other · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 18 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $425.63 | $425.63 | $249.75 – $601.50 |
| 19 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $454.00 | $454.00 | $266.40 – $641.60 |
| 20 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $461.95 | $461.95 | $271.06 – $652.83 |
| 21 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $482.38 | $482.38 | $283.05 – $681.70 |
| 22 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $482.38 | $482.38 | $283.05 – $681.70 |
| 23 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $488.05 | $488.05 | $286.38 – $689.72 |
| 24 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $522.10 | $522.10 | $306.36 – $737.84 |
| 25 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $522.10 | $522.10 | $306.36 – $737.84 |
Last updated: Mar 26, 2026
See Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.