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
Rpr Smp Wnd F/E/L/Mm 2.5/< Cm
Pompton Plains, NJ
See all hospitals reporting CPT 12011 →Price type
Chilton Medical Center’s median price of $760 is 180% above the median hospital's median price ($272), higher than 86% 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: 18 payers, 29 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 | Anthem cmc medicaid percent of total billed charges · bothfrom % of charges | $124.56 | $124.56 | $124.56 – $124.56 |
| 2 | Medicaid cmc medicaid percent of total billed charges · bothfrom % of charges | $124.56 | $124.56 | $124.56 – $124.56 |
| 3 | Aetna Better Health cmc aetna better health percent of total billed charges · bothfrom % of charges | $149.43 | $149.43 | $149.43 – $149.43 |
| 4 | UnitedHealthcare united non-tertiary case rate · both | $471.82 | $471.82 | $471.82 – $471.82 |
| 5 | UnitedHealthcare united non-tertiary case rate · outpatient | $471.82 | $471.82 | $471.82 – $471.82 |
| 6 | Humana cmc qualcare percent of total billed charges · bothfrom % of charges | $597.30 | $597.30 | $597.30 – $597.30 |
| 7 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $597.30 | $597.30 | $597.30 – $597.30 |
| 8 | Oscar cmc qualcare percent of total billed charges · bothfrom % of charges | $597.30 | $597.30 | $597.30 – $597.30 |
| 9 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $597.30 | $597.30 | $597.30 – $597.30 |
| 10 | Blue Cross Blue Shield cmc horizon omnia percent of total billed charges · bothfrom % of charges | $684.72 | $684.72 | $684.72 – $684.72 |
| 11 | First Health first health percent of total billed charges · bothfrom % of charges | $705.90 | $705.90 | $705.90 – $705.90 |
| 12 | Anthem cmc horizon commercial percent of total billed charges · bothfrom % of charges | $744.24 | $744.24 | $744.24 – $744.24 |
| 13 | Blue Cross Blue Shield cmc horizon commercial percent of total billed charges · bothfrom % of charges | $744.24 | $744.24 | $744.24 – $744.24 |
| 14 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $760.20 | $760.20 | $760.20 – $760.20 |
| 15 | Aetna cmc aetna ahs employee other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 16 | Aetna cmc aetna medicare case rate · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 17 | Aetna cmc aetna nnj prime other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 18 | Ambetter cmc ambetter wellcare of nj other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 19 | Anthem cmc horizon braven other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 20 | Blue Cross Blue Shield cmc horizon braven other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 21 | Cigna cmc cigna medicare case rate · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 22 | Highmark cmc highmark wholecare / gateway health plan inc other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 23 | Highmark cmc horizon braven other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 24 | Tricare cmc tricare contract other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
| 25 | Tricare cmc tricare-east (humana military) other · outpatient | $6,864 | $6,864 | $6,864 – $6,864 |
Last updated: Apr 1, 2026
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.