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
Los Angeles, CA
See all hospitals reporting CPT 12053 →Price type
Dignity Community Care’s median price of $508 is 2% below the median hospital's median price ($520), higher than 48% 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: 6 payers, 16 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 7 | Anthem medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 8 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 9 | Molina medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 11 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $973 | $973 | — | — | — | $973 – $973 |
| 12 | Kaiser commercial|all plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 13 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 14 | Anthem commercial|exchange case rate · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 15 | Anthem commercial|all other plans case rate · outpatient | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 16 | Anthem commercial|mcs case rate · outpatient | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
Last updated: Feb 28, 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.