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/<
Elizabethtown, NY
See all hospitals reporting CPT 12011 →Price type
Elizabethtown Community Hospital’s median price of $120 is 56% below the median hospital's median price ($272), higher than 7% 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: 7 payers, 32 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 | Humana tricare professional · fee schedule · both | $48.97 | $48.97 | $48.97 – $48.97 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $51.55 | $51.55 | $51.55 – $51.55 |
| 3 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $51.55 | $51.55 | $51.55 – $51.55 |
| 4 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $51.55 | $51.55 | $51.55 – $51.55 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $51.55 | $51.55 | $51.55 – $51.55 |
| 6 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid professional · fee schedule · both | $61.86 | $61.86 | $61.86 – $61.86 |
| 7 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $72.62 | $72.62 | $72.62 – $72.62 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $74.58 | $74.58 | $68.53 – $80.62 |
| 9 | Aetna commercial professional · fee schedule · both | $79.38 | $79.38 | $79.38 – $79.38 |
| 10 | Blue Cross Blue Shield individual network professional · fee schedule · both | $82.48 | $82.48 | $82.48 – $82.48 |
| 11 | Blue Cross Blue Shield blue access professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 12 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 13 | UnitedHealthcare medicare advantage professional · fee schedule · both | $103.74 | $103.74 | $103.74 – $103.74 |
| 14 | Highmark ind/fep/ppo/hmo professional · fee schedule · both | $119.45 | $119.45 | $119.45 – $119.45 |
| 15 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $119.70 | $119.70 | $119.70 – $119.70 |
| 16 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $119.70 | $119.70 | $119.70 – $119.70 |
| 17 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $119.70 | $119.70 | $119.70 – $119.70 |
| 18 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $119.70 | $119.70 | $119.70 – $119.70 |
| 19 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
| 20 | Excellus managed medicaid/essential plans professional · fee schedule · both | $127.36 | $127.36 | $127.36 – $127.36 |
| 21 | Excellus commercial professional · fee schedule · both | $133.84 | $133.84 | $133.84 – $133.84 |
| 22 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $185.85 | $185.85 | $185.85 – $185.85 |
| 23 | Humana tricare facility · fee schedule · outpatient | $188.76 | $188.76 | $188.76 – $188.76 |
| 24 | Blue Cross Blue Shield individual network facility · percent of total billed charges · outpatientfrom % of charges | $191.52 | $191.52 | $191.52 – $191.52 |
| 25 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind facility · percent of total billed charges · outpatientfrom % of charges | $195.30 | $195.30 | $195.30 – $195.30 |
Last updated: Apr 28, 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.