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 12.6cm-20.0 Cm
Rochester, NY
See all hospitals reporting CPT 12016 →Price type
Highland Hospital’s median price of $812 is 57% above the median hospital's median price ($516), higher than 71% 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: 7 payers, 16 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 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $507.45 | $507.45 | $507.45 – $507.45 |
| 2 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $522.07 | $522.07 | $520.07 – $524.06 |
| 3 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $575.58 | $575.58 | $575.58 – $575.58 |
| 4 | Humana humana medicare [131201] fee schedule · outpatient | $579.57 | $579.57 | $553.96 – $605.17 |
| 5 | Aetna aetna medicare [130001] fee schedule · outpatient | $585.95 | $585.95 | $557.28 – $614.62 |
| 6 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $715.87 | $715.87 | $715.87 – $715.87 |
| 7 | Excellus excellus high performance [220103] fee schedule · outpatient | $715.87 | $715.87 | $715.87 – $715.87 |
| 8 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $1,169 | $1,169 | $861.80 – $1,476 |
| 9 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 10 | Excellus excellus child health plus [220108] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 11 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 12 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 13 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 14 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 15 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
| 16 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $1,576 | $1,576 | $1,576 – $1,576 |
Last updated: Jul 1, 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.