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 7.6-12.5CM
Los Angeles, CA
See all hospitals reporting CPT 12054 →Price type
Dignity Community Care’s median price of $508 is 8% below the median hospital's median price ($554), higher than 43% 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: 6 payers, 15 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 | $269 | $269 | — | — | — | $269 – $269 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $269 | $269 | — | — | — | $269 – $269 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $395 | $395 | — | — | — | $395 – $395 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $395 | $395 | — | — | — | $395 – $395 |
| 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 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | Anthem commercial|exchange case rate · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 14 | Anthem commercial|all other plans case rate · outpatient | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 15 | Anthem commercial|mcs case rate · outpatient | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
Last updated: Feb 28, 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.