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
PHY-SIMPLE REPAIR FEENL 12.6-20 CM
Charleston, WV
See all hospitals reporting CPT 12016 →Price type
Charleston Area Medical Center’s median price of $358 is 31% below the median hospital's median price ($516), higher than 15% 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: 8 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 | Aetna Better Health chip fee schedule · both | $100.62 | $100.62 | $100.62 – $100.62 |
| 2 | Aetna Better Health chip fee schedule · outpatient | $105.45 | $103.63 | $100.62 – $105.74 |
| 3 | Aetna commercial fee schedule · both | $130.51 | $130.51 | $130.51 – $130.51 |
| 4 | Aetna commercial fee schedule · outpatient | $130.51 | $130.51 | $130.51 – $130.51 |
| 5 | Highmark ppo aca fee schedule · both | $181.35 | $181.35 | $181.35 – $181.35 |
| 6 | Highmark ppo aca fee schedule · outpatient | $181.35 | $181.35 | $181.35 – $181.35 |
| 7 | Highmark ppo/pos fee schedule · both | $181.35 | $181.35 | $181.35 – $181.35 |
| 8 | Highmark ppo/pos fee schedule · outpatient | $181.35 | $181.35 | $181.35 – $181.35 |
| 9 | Highmark traditional fee schedule · both | $181.35 | $181.35 | $181.35 – $181.35 |
| 10 | Highmark traditional fee schedule · outpatient | $181.35 | $181.35 | $181.35 – $181.35 |
| 11 | Tricare commercial percent of total billed charges · bothfrom % of charges | $219.00 | $219.00 | $219.00 – $219.00 |
| 12 | Aetna medicare advantage fee schedule · both | $255.65 | $255.65 | $255.65 – $255.65 |
| 13 | Highmark medicare advantage fee schedule · both | $255.65 | $255.65 | $255.65 – $255.65 |
| 14 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $255.65 | $255.65 | $255.65 – $255.65 |
| 15 | UnitedHealthcare medicare advantage percent of total billed charges · bothfrom % of charges | $263.32 | $263.32 | $263.32 – $263.32 |
| 16 | Tricare commercial percent of total billed charges · outpatientfrom % of charges | $261.60 | $321.36 | $219.00 – $453.60 |
| 17 | Highmark medicare advantage fee schedule · outpatient | $415.32 | $351.45 | $255.65 – $415.32 |
| 18 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $357.70 | $357.70 | $357.70 – $357.70 |
| 19 | Cigna commercial percent of total billed charges · bothfrom % of charges | $361.35 | $361.35 | $361.35 – $361.35 |
| 20 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $427.78 | $362.00 | $263.32 – $427.78 |
| 21 | Aetna medicare advantage fee schedule · outpatient | $436.00 | $363.90 | $255.65 – $436.09 |
| 22 | Caresource commercial percent of total billed charges · bothfrom % of charges | $365.00 | $365.00 | $365.00 – $365.00 |
| 23 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $427.28 | $484.07 | $255.65 – $740.88 |
| 24 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $405.48 | $506.87 | $361.35 – $703.08 |
| 25 | Highmark ppo aca percent of total billed charges · outpatientfrom % of charges | $608.81 | $522.91 | $351.11 – $608.81 |
Last updated: Apr 1, 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.