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
Rpr fe/e/en/l/m 12.6-20.0 cm
Montgomery, AL
See all hospitals reporting CPT 12016 →Price type
Jackson Hospital’s median price of $348 is 32% below the median hospital's median price ($516), higher than 15% 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, 48 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 | UnitedHealthcare 310300 fee schedule · both | $211.00 | $211.00 | $211.00 – $211.00 |
| 2 | UnitedHealthcare 310300 fee schedule · inpatient | $211.00 | $211.00 | $211.00 – $211.00 |
| 3 | UnitedHealthcare 310300 fee schedule · outpatient | $211.00 | $211.00 | $211.00 – $211.00 |
| 4 | Bcbs Al 100100 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 5 | Bcbs Al 100100 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 6 | Bcbs Al 100100 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 7 | Bcbs Al 100109 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 8 | Bcbs Al 100109 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 9 | Bcbs Al 100109 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 10 | Blue Cross Blue Shield 100101 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 11 | Blue Cross Blue Shield 100101 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 12 | Blue Cross Blue Shield 100101 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 13 | Blue Cross Blue Shield 100102 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 14 | Blue Cross Blue Shield 100102 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 15 | Blue Cross Blue Shield 100102 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 16 | Blue Cross Blue Shield 100104 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 17 | Blue Cross Blue Shield 100104 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 18 | Blue Cross Blue Shield 100104 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 19 | Blue Cross Blue Shield 100105 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 20 | Blue Cross Blue Shield 100105 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 21 | Blue Cross Blue Shield 100105 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 22 | Blue Cross Blue Shield 100108 fee schedule · both | $272.15 | $272.15 | $272.15 – $272.15 |
| 23 | Blue Cross Blue Shield 100108 fee schedule · inpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 24 | Blue Cross Blue Shield 100108 fee schedule · outpatient | $272.15 | $272.15 | $272.15 – $272.15 |
| 25 | Aetna 510113 fee schedule · both | $348.47 | $348.47 | $348.47 – $348.47 |
Last updated: Jun 23, 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.