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
Long Beach, CA
See all hospitals reporting CPT 12053 →Price type
Dignity Health’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: 7 payers, 17 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 medicaid|all plans fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 2 | Kaiser medicaid|< 21 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 3 | Kaiser medicaid|> 21 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 5 | Anthem medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 6 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 12 | Blue Cross Blue Shield medicare|trauma fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 13 | Kaiser commercial|all plans percent of total billed charges · outpatientfrom % of charges | $868 | $868 | — | — | 1–10 | $868 – $868 |
| 14 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $973 | $973 | — | — | — | $973 – $973 |
| 15 | Anthem commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Anthem commercial|all other plans case rate · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 17 | Anthem commercial|mcs case rate · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
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.