Simple repair of facial wound up to 2.5 cm at Champlain Valley Physicians Hospital Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $209 is 23% below the median hospital's median price ($272), higher than 30% of the 2,366 hospitals reporting CPT 12011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12011 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 38 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	Aetna medicare advantage professional · fee schedule · both	$51.55	$51.55	$51.55 – $51.55
2	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$51.55	$51.55	$51.55 – $51.55
3	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$51.55	$51.55	$51.55 – $51.55
4	Excellus medicare advantage professional · fee schedule · both	$51.55	$51.55	$51.55 – $51.55
5	Humana tricare professional · fee schedule · both	$51.55	$51.55	$51.55 – $51.55
6	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$61.86	$61.86	$61.86 – $61.86
7	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$72.62	$72.62	$72.62 – $72.62
8	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$74.89	$74.89	$68.81 – $80.96
9	Blue Cross Blue Shield blue access professional · fee schedule · both	$77.81	$77.81	$77.81 – $77.81
10	Aetna commercial professional · fee schedule · both	$78.87	$78.87	$78.87 – $78.87
11	Blue Cross Blue Shield hmo professional · fee schedule · both	$82.39	$82.39	$82.39 – $82.39
12	Blue Cross Blue Shield individual network professional · fee schedule · both	$82.48	$82.48	$82.48 – $82.48
13	Blue Cross Blue Shield ind professional · fee schedule · both	$86.97	$86.97	$86.97 – $86.97
14	Blue Cross Blue Shield ppo professional · fee schedule · both	$91.55	$91.55	$91.55 – $91.55
15	UnitedHealthcare medicare advantage professional · fee schedule · both	$103.74	$103.74	$103.74 – $103.74
16	Highmark ind/fep professional · fee schedule · both	$119.45	$119.45	$119.45 – $119.45
17	Highmark ppo/hmo professional · fee schedule · both	$119.45	$119.45	$119.45 – $119.45
18	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$125.01	$125.01	$125.01 – $125.01
19	Excellus managed medicaid/essential plans professional · fee schedule · both	$127.36	$127.36	$127.36 – $127.36
20	Excellus commercial professional · fee schedule · both	$133.84	$133.84	$133.84 – $133.84
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$161.14	$161.14	$161.14 – $161.14
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$172.44	$172.44	$172.44 – $172.44
23	MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges	$214.70	$214.70	$214.70 – $214.70
24	Excellus medicare advantage facility · fee schedule · outpatient	$229.52	$229.52	$229.52 – $229.52
25	Humana tricare facility · fee schedule · outpatient	$230.64	$230.64	$230.64 – $230.64

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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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.