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
Intmd rpr face/mm 5.1-7.5 cm
Conway, SC
See all hospitals reporting CPT 12053 →Price type
Conway Hospital, Inc.’s median price of $246 is 53% below the median hospital's median price ($520), higher than 6% of the 2,286 hospitals reporting CPT 12053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 37 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 commercial professional · fee schedule · outpatient | $47 | $47 | $8 | 17% | — | $39 – $55 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | $20 | 30% | — | $47 – $87 |
| 3 | Blue Cross Blue Shield narrow network facility · percent of total billed charges · inpatientfrom % of charges | $100 | $100 | $30 | 30% | — | $70 – $129 |
| 4 | Blue Cross Blue Shield narrow network facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | $30 | 30% | — | $70 – $129 |
| 5 | Blue Cross Blue Shield exchange facility · percent of total billed charges · inpatientfrom % of charges | $113 | $113 | $33 | 30% | — | $79 – $146 |
| 6 | Blue Cross Blue Shield exchange facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $33 | 30% | — | $79 – $146 |
| 7 | Blue Cross Blue Shield state health plan facility · percent of total billed charges · inpatientfrom % of charges | $186 | $186 | $55 | 30% | — | $131 – $242 |
| 8 | Blue Cross Blue Shield state health plan facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | $55 | 30% | — | $131 – $242 |
| 9 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $210 | $210 | $62 | 30% | — | $148 – $272 |
| 10 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $62 | 30% | — | $148 – $272 |
| 11 | Blue Cross Blue Shield state health plan facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $254 | $254 | $75 | 30% | — | $178 – $329 |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $261 | $261 | $77 | 30% | — | $183 – $338 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $77 | 30% | — | $183 – $338 |
| 15 | Aetna medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 16 | Blue Cross Blue Shield medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 17 | Clover medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 18 | Humana commercial professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 19 | Humana medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 20 | Molina exchange professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 21 | Molina medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 22 | UnitedHealthcare medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 23 | WellCare medicare professional · fee schedule · outpatient | $263 | $263 | $64 | 24% | — | $199 – $328 |
| 24 | Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges | $268 | $268 | $79 | 30% | — | $188 – $347 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $268 | $268 | $80 | 30% | — | $189 – $348 |
Last updated: May 20, 2026
See Layered wound repair, face or mucous membrane, 5.1-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.