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 12054 LAC. RPR, INTERMED F/E/E/N/L&/MUC 7.6-12.5CM
Orange, TX
See all hospitals reporting CPT 12054 →Price type
CHRISTUS Hospital - Orange’s median price of $420 is 24% below the median hospital's median price ($554), higher than 27% of the 2,222 hospitals reporting CPT 12054. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 36 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 | Molina chip km fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 2 | Molina star km fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 3 | Molina star plus km fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $295 | $295 | $150 | 51% | — | $145 – $444 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $303 | $303 | $142 | 47% | — | $161 – $444 |
| 6 | Bcbs Tx heb fee schedule · outpatient | $327 | $327 | $166 | 51% | — | $161 – $492 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $354 | $354 | $173 | 49% | — | $181 – $527 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $369 | $369 | $177 | 48% | — | $192 – $546 |
| 9 | UnitedHealthcare chip km case rate · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 10 | UnitedHealthcare star kid km case rate · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 11 | UnitedHealthcare star km case rate · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 12 | UnitedHealthcare star plus km case rate · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 13 | Aetna mm fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 14 | Bcbs Tx mm fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 15 | Humana gold choice mm fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 16 | Molina medicare adv mm fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 18 | WellCare mm fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 19 | Humana choicecare other · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 20 | Devoted mm fee schedule · outpatient | $432 | $432 | — | — | — | $432 – $432 |
| 21 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 22 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | Humana choicecare per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jan 13, 2026
See Intermediate repair of face wound, 7.6-12.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.