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
12011,RT RPR F/E/E/N/L/M 2.5 CM/<
Wayne, IN
See all hospitals reporting CPT 12011 →Price type
Dupont Hospital LLC’s median price of $209 is 23% below the median hospital's median price ($272), higher than 30% 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: 12 payers, 41 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $68.48 | $68.48 | $68.48 – $68.48 |
| 2 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $76.96 | $76.96 | $76.96 – $76.96 |
| 3 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $78.44 | $78.44 | $78.44 – $78.44 |
| 4 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $78.44 | $78.44 | $78.44 – $78.44 |
| 5 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $94.76 | $94.76 | $94.76 – $94.76 |
| 6 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $112.36 | $112.36 | $112.36 – $112.36 |
| 7 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · inpatientfrom % of charges | $182.32 | $182.32 | $182.32 – $182.32 |
| 8 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · outpatientfrom % of charges | $182.32 | $182.32 | $182.32 – $182.32 |
| 9 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $187.98 | $187.98 | $187.98 – $187.98 |
| 10 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · inpatientfrom % of charges | $190.80 | $190.80 | $190.80 – $190.80 |
| 11 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · outpatientfrom % of charges | $190.80 | $190.80 | $190.80 – $190.80 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $201.66 | $201.66 | $201.66 – $201.66 |
| 13 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $208.87 | $208.87 | $208.87 – $208.87 |
| 14 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $208.87 | $208.87 | $208.87 – $208.87 |
| 15 | Humana node humana mcr adv facility · fee schedule · outpatient | $208.87 | $208.87 | $208.87 – $208.87 |
| 16 | Anthem anthem in hip facility · fee schedule · outpatient | $212.27 | $212.27 | $212.27 – $212.27 |
| 17 | Anthem anthem in hip facility · other · outpatient | $212.27 | $212.27 | $212.27 – $212.27 |
| 18 | Optum node united optum va ccn facility · per diem · outpatient | $212.27 | $212.27 | $212.27 – $212.27 |
| 19 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $213.05 | $213.05 | $213.05 – $213.05 |
| 20 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $318.41 | $318.41 | $318.41 – $318.41 |
| 21 | Anthem anthem in work comp facility · other · outpatient | $339.63 | $339.63 | $339.63 – $339.63 |
| 22 | Anthem anthem in medicaid facility · other · outpatient | $381.15 | $381.15 | $381.15 – $381.15 |
| 23 | Caresource caresource hhw in medicaid facility · other · outpatient | $381.15 | $381.15 | $381.15 – $381.15 |
| 24 | Caresource caresource in hip facility · other · outpatient | $381.15 | $381.15 | $381.15 – $381.15 |
| 25 | Humana humana pathways in medicaid facility · other · outpatient | $381.15 | $381.15 | $381.15 – $381.15 |
Last updated: Apr 1, 2026
See Simple repair of facial wound up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.