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
12011 - SIMP REP FACE/MUCOUS 2.5/LESS
Jervis, NY
See all hospitals reporting CPT 12011 →Price type
Bon Secours Community Hospital’s median price of $913 is 236% above the median hospital's median price ($272), higher than 88% 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: 10 payers, 22 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 | Medicare medicare facility · fee schedule · outpatient | $250.45 | $250.45 | $250.45 – $250.45 |
| 2 | Molina affinity by molina mcr facility · fee schedule · outpatient | $261.68 | $261.68 | $261.68 – $261.68 |
| 3 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $586.80 | $586.80 | $586.80 – $586.80 |
| 4 | Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges | $652.00 | $652.00 | $652.00 – $652.00 |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $912.80 | $912.80 | $912.80 – $912.80 |
| 6 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $978.00 | $978.00 | $978.00 – $978.00 |
| 7 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $978.00 | $978.00 | $978.00 – $978.00 |
| 8 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1,108 | $1,108 | $1,108 – $1,108 |
| 9 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $1,530 | $1,530 | $1,530 – $1,530 |
| 10 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $1,800 | $1,800 | $1,800 – $1,800 |
| 11 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $1,800 | $1,800 | $1,800 – $1,800 |
| 12 | UnitedHealthcare uhc exchange facility · case rate · outpatient | $2,500 | $2,500 | $2,500 – $2,500 |
| 13 | UnitedHealthcare uhc commercial facility · case rate · outpatient | $2,941 | $2,941 | $2,941 – $2,941 |
| 14 | UnitedHealthcare uhc empire facility · case rate · outpatient | $2,941 | $2,941 | $2,941 – $2,941 |
| 15 | Tricare tricare facility · fee schedule · outpatient | $3,178 | $3,178 | $250.45 – $6,106 |
| 16 | Blue Cross Blue Shield blue cross connection/exchange facility · case rate · outpatient | $3,966 | $3,966 | $3,966 – $3,966 |
| 17 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $4,759 | $4,759 | $4,759 – $4,759 |
| 18 | Blue Cross Blue Shield blue cross hmo facility · case rate · outpatient | $4,886 | $4,886 | $4,886 – $4,886 |
| 19 | Cigna cigna ppo facility · case rate · outpatient | $5,853 | $5,853 | $5,853 – $5,853 |
| 20 | Aetna aetna hp network facility · case rate · outpatient | $6,273 | $6,273 | $2,676 – $9,869 |
| 21 | Aetna aetna facility · case rate · outpatient | $6,969 | $6,969 | $2,973 – $10,965 |
| 22 | Aetna aetna employee facility · case rate · outpatient | $6,969 | $6,969 | $2,973 – $10,965 |
Last updated: Jun 29, 2026
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