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 REPAIR SIM FACE 12.6-20CM
Houston, TX
See all hospitals reporting CPT 12016 →Price type
Chi St. Luke's Health Baylor College Of Medicine Medical Center’s median price of $1.1k is 113% above the median hospital's median price ($516), higher than 80% 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, 48 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial|transplant case rate · outpatient | $151.73 | $151.73 | $151.73 – $151.73 |
| 2 | UnitedHealthcare medicaid|all other plans case rate · outpatient | $153.53 | $153.53 | $153.53 – $153.53 |
| 3 | UnitedHealthcare medicaid|chip case rate · outpatient | $153.53 | $153.53 | $153.53 – $153.53 |
| 4 | UnitedHealthcare medicaid|starkids case rate · outpatient | $153.53 | $153.53 | $153.53 – $153.53 |
| 5 | Blue Cross Blue Shield medicaid|all plans case rate · outpatient | $158.05 | $158.05 | $158.05 – $158.05 |
| 6 | UnitedHealthcare medicaid|star case rate · outpatient | $206.21 | $206.21 | $206.21 – $206.21 |
| 7 | Blue Cross Blue Shield commercial|blue advantage exchange case rate · outpatient | $268.39 | $268.39 | $268.39 – $268.39 |
| 8 | Blue Cross Blue Shield commercial|myblue health exchange case rate · outpatient | $293.95 | $293.95 | $293.95 – $293.95 |
| 9 | Aetna medicare|transplant case rate · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 10 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 11 | Cigna Healthspring medicare|hmo case rate · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 12 | Humana medicare|all other plans case rate · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 13 | Humana medicare|transplant case rate · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 14 | Cigna Healthspring medicare|ppo case rate · outpatient | $404.18 | $404.18 | $404.18 – $404.18 |
| 15 | Aetna medicare|all other plans case rate · outpatient | $408.18 | $408.18 | $408.18 – $408.18 |
| 16 | UnitedHealthcare medicare|all plans case rate · outpatient | $408.18 | $408.18 | $408.18 – $408.18 |
| 17 | UnitedHealthcare medicaid|starplus case rate · outpatient | $469.62 | $469.62 | $469.62 – $469.62 |
| 18 | Blue Cross Blue Shield commercial|premier case rate · outpatient | $533.58 | $533.58 | $533.58 – $533.58 |
| 19 | Superior Healthplan commercial|all plans case rate · outpatient | $600.27 | $600.27 | $600.27 – $600.27 |
| 20 | Aetna commercial|exchange case rate · outpatient | $616.28 | $616.28 | $616.28 – $616.28 |
| 21 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $651.80 | $651.80 | $651.80 – $651.80 |
| 22 | Optum medicare|all plans fee schedule · outpatient | $690.12 | $690.12 | $690.12 – $690.12 |
| 23 | Blue Cross Blue Shield commercial|ppo trad case rate · outpatient | $702.92 | $702.92 | $702.92 – $702.92 |
| 24 | Optum medicaid|star fee schedule · outpatient | $924.77 | $924.77 | $924.77 – $924.77 |
| 25 | Aetna commercial|kelseycare case rate · outpatient | $1,195 | $1,195 | $1,195 – $1,195 |
Last updated: Feb 28, 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.