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
HB Simple Repair F/E/E/N/L/M 2.5cm/<
Rochester, NY
See all hospitals reporting CPT 12011 →Price type
Highland Hospital’s median price of $281 is 3% above the median hospital's median price ($272), higher than 52% 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, 18 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 | Excellus excellus child health plus [220108] fee schedule · outpatient | $66.28 | $66.28 | $27.78 – $104.78 |
| 2 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $66.28 | $66.28 | $27.78 – $104.78 |
| 3 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $66.28 | $66.28 | $27.78 – $104.78 |
| 4 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $169.51 | $169.51 | $71.05 – $267.96 |
| 5 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $250.45 | $250.45 | $250.45 – $250.45 |
| 6 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $258.64 | $258.64 | $258.64 – $258.65 |
| 7 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $284.07 | $284.07 | $284.07 – $284.07 |
| 8 | Humana humana medicare [131201] fee schedule · outpatient | $300.97 | $291.78 | $273.41 – $300.97 |
| 9 | Aetna aetna medicare [130001] fee schedule · outpatient | $305.66 | $295.46 | $275.05 – $305.66 |
| 10 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $104.78 | $316.85 | $27.78 – $818.00 |
| 11 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $353.32 | $353.32 | $353.32 – $353.32 |
| 12 | Excellus excellus high performance [220103] fee schedule · outpatient | $353.32 | $353.32 | $353.32 – $353.32 |
| 13 | Aetna aetna [270002] percent of total billed charges · outpatientfrom % of charges | $546.00 | $546.00 | $546.00 – $546.00 |
| 14 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $733.85 | $631.01 | $425.34 – $733.85 |
| 15 | UnitedHealthcare united healthcare [515803] percent of total billed charges · outpatientfrom % of charges | $760.00 | $760.00 | $760.00 – $760.00 |
| 16 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $818.00 | $818.00 | $818.00 – $818.00 |
| 17 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $818.00 | $818.00 | $818.00 – $818.00 |
| 18 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $818.00 | $818.00 | $818.00 – $818.00 |
Last updated: Jul 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.