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
HC SIM LAC FACE-EAR 12.6-20CM
Tacoma, WA
See all hospitals reporting CPT 12016 →Price type
Franciscan Health System’s median price of $897 is 74% above the median hospital's median price ($516), higher than 75% of the 2,109 hospitals reporting CPT 12016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 24 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 medicare|all plans case rate · outpatient | $452.84 | $452.84 | $452.84 – $452.84 |
| 2 | Optum medicare|all plans case rate · outpatient | $457.37 | $457.37 | $457.37 – $457.37 |
| 3 | Aetna medicare|all plans case rate · outpatient | $466.43 | $466.43 | $466.43 – $466.43 |
| 4 | Premera medicare|all plans case rate · outpatient | $466.43 | $466.43 | $466.43 – $466.43 |
| 5 | Regence medicare|all plans case rate · outpatient | $466.43 | $466.43 | $466.43 – $466.43 |
| 6 | Humana medicare|all plans case rate · outpatient | $484.54 | $484.54 | $484.54 – $484.54 |
| 7 | Molina medicare|all plans case rate · outpatient | $489.07 | $489.07 | $489.07 – $489.07 |
| 8 | UnitedHealthcare medicare|all plans case rate · outpatient | $489.07 | $489.07 | $489.07 – $489.07 |
| 9 | Molina commercial|marketplace exchange case rate · outpatient | $869.45 | $869.45 | $869.45 – $869.45 |
| 10 | Aetna commercial|rental fee schedule · inpatient | $896.55 | $896.55 | $896.55 – $896.55 |
| 11 | Aetna commercial|rental fee schedule · outpatient | $896.55 | $896.55 | $896.55 – $896.55 |
| 12 | Premera commercial|lifewise primary exchange case rate · outpatient | $923.04 | $923.04 | $923.04 – $923.04 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $933.90 | $933.90 | $933.90 – $933.90 |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $933.90 | $933.90 | $933.90 – $933.90 |
| 15 | Kaiser commercial|hmo fee schedule · outpatient | $1,015 | $1,015 | $1,015 – $1,015 |
| 16 | Kaiser commercial|ppo fee schedule · outpatient | $1,117 | $1,117 | $1,117 – $1,117 |
| 17 | Regence commercial|all plans case rate · outpatient | $1,130 | $1,130 | $1,130 – $1,130 |
| 18 | Premera commercial|all other plans case rate · outpatient | $1,334 | $1,334 | $1,334 – $1,334 |
| 19 | UnitedHealthcare commercial|navigate case rate · outpatient | $1,429 | $1,429 | $1,429 – $1,429 |
| 20 | UnitedHealthcare commercial|all other plans case rate · outpatient | $1,504 | $1,504 | $1,504 – $1,504 |
| 21 | UnitedHealthcare commercial|cascade care case rate · outpatient | $1,504 | $1,504 | $1,504 – $1,504 |
| 22 | Aetna commercial|awh case rate · outpatient | $1,694 | $1,694 | $1,694 – $1,694 |
| 23 | Aetna commercial|all other plans case rate · outpatient | $1,993 | $1,993 | $1,993 – $1,993 |
| 24 | Cigna commercial|all plans case rate · outpatient | $5,920 | $5,920 | $5,920 – $5,920 |
Last updated: Feb 28, 2026
See Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.