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 REP F/E/N/L/MM 12.6-20.0CM
ST, LA
See all hospitals reporting CPT 12016 →Price type
Kaplan General Hospital, Inc’s median price of $260 is 50% below the median hospital's median price ($516), higher than 10% 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, 13 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 | Bcbs La all payor other · outpatient | $203.40 | $203.40 | $203.40 – $203.40 |
| 2 | Humana all payor other · outpatient | $203.40 | $203.40 | $203.40 – $203.40 |
| 3 | Optum all payor other · outpatient | $203.40 | $203.40 | $203.40 – $203.40 |
| 4 | UnitedHealthcare all payor other · outpatient | $203.40 | $203.40 | $203.40 – $203.40 |
| 5 | WellCare all payor other · outpatient | $203.40 | $203.40 | $203.40 – $203.40 |
| 6 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $236.89 | $236.89 | $236.89 – $236.89 |
| 7 | Aetna all payor other · outpatient | $243.63 | $243.63 | $203.40 – $283.86 |
| 8 | Cigna all payor other · outpatient | $316.40 | $316.40 | $316.40 – $316.40 |
| 9 | UnitedHealthcare all payor case rate · outpatient | $331.15 | $331.15 | $194.00 – $468.30 |
| 10 | Bcbs La all payor fee schedule · outpatient | $367.91 | $367.91 | $352.53 – $383.29 |
| 11 | Aetna Better Health all payor case rate · outpatient | $468.30 | $468.30 | $468.30 – $468.30 |
| 12 | Amerihealth Caritas all payor case rate · outpatient | $468.30 | $468.30 | $468.30 – $468.30 |
| 13 | Humana all payor case rate · outpatient | $468.30 | $468.30 | $468.30 – $468.30 |
Last updated: Apr 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.