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
PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
Newburgh, IN
See all hospitals reporting CPT 12011 →Price type
Deaconess Hospital, Inc’s median price of $102 is 63% below the median hospital's median price ($272), higher than 5% 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: 13 payers, 43 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 | Anthem commercial professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 3 | Caresource medicare advantage professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 4 | Humana commercial professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 5 | Humana medicare advantage professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 6 | Molina dual medicare/medicaid professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 7 | Molina medicare advantage professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 8 | WellCare medicare advantage professional · fee schedule · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 9 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $50.53 | $50.53 | $50.53 – $50.53 |
| 10 | Bcbs Il medicare advantage professional · fee schedule · both | $50.53 | $50.53 | $50.53 – $50.53 |
| 11 | Bcbs Il managed medicaid professional · fee schedule · both | $55.88 | $55.88 | $55.88 – $55.88 |
| 12 | Ambetter commercial professional · fee schedule · both | $56.97 | $56.97 | $56.97 – $56.97 |
| 13 | Aetna Better Health managed medicaid professional · fee schedule · both | $63.68 | $63.68 | $55.88 – $71.48 |
| 14 | Molina managed medicaid professional · fee schedule · both | $63.68 | $63.68 | $55.88 – $71.48 |
| 15 | Caresource commercial professional · fee schedule · both | $64.40 | $64.40 | $64.40 – $64.40 |
| 16 | Humana managed medicaid professional · fee schedule · both | $71.48 | $71.48 | $71.48 – $71.48 |
| 17 | WellCare managed medicaid professional · fee schedule · both | $71.48 | $71.48 | $71.48 – $71.48 |
| 18 | UnitedHealthcare commercial professional · fee schedule · both | $98.62 | $82.26 | $49.54 – $98.62 |
| 19 | UnitedHealthcare managed medicaid professional · fee schedule · both | $86.63 | $86.63 | $71.48 – $101.77 |
| 20 | Anthem managed medicaid professional · fee schedule · both | $101.77 | $101.77 | $101.77 – $101.77 |
| 21 | Caresource managed medicaid professional · fee schedule · both | $101.77 | $101.77 | $101.77 – $101.77 |
| 22 | Anthem commercial facility · case rate · outpatient | $178.45 | $178.45 | $178.45 – $178.45 |
| 23 | Anthem medicare advantage facility · case rate · outpatient | $178.45 | $178.45 | $178.45 – $178.45 |
| 24 | Caresource medicare advantage facility · case rate · outpatient | $178.45 | $178.45 | $178.45 – $178.45 |
| 25 | Humana commercial facility · fee schedule · outpatient | $178.45 | $178.45 | $178.45 – $178.45 |
Last updated: Feb 13, 2026
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