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
Tacoma, WA
See all hospitals reporting CPT 12016 →Price type
Mary Bridge Children's Hospital’s median price of $484 is 6% below the median hospital's median price ($516), higher than 45% 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: 8 payers, 15 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 | Molina apple health fee schedule · outpatient | $132.08 | $132.08 | $132.08 – $132.08 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $142.65 | $142.65 | $142.65 – $142.65 |
| 3 | Ambetter coordinated care exchange fee schedule · outpatient | $468.89 | $468.89 | $468.89 – $468.89 |
| 4 | Aetna medadvantage fee schedule · outpatient | $478.89 | $478.89 | $478.89 – $478.89 |
| 5 | Regence medadvantage fee schedule · outpatient | $478.89 | $478.89 | $478.89 – $478.89 |
| 6 | UnitedHealthcare medadvantage hmo fee schedule · outpatient | $483.54 | $483.54 | $483.54 – $483.54 |
| 7 | Molina medadvantage fee schedule · outpatient | $488.19 | $488.19 | $488.19 – $488.19 |
| 8 | WellCare medadvantage fee schedule · outpatient | $488.19 | $488.19 | $488.19 – $488.19 |
| 9 | Premera hmo fee schedule · outpatient | $698.88 | $698.88 | $698.88 – $698.88 |
| 10 | Premera signature fee schedule · outpatient | $1,457 | $1,457 | $1,457 – $1,457 |
| 11 | Premera prime fee schedule · outpatient | $1,490 | $1,490 | $1,490 – $1,490 |
| 12 | Premera other commercial plans fee schedule · outpatient | $1,831 | $1,831 | $1,831 – $1,831 |
| 13 | Regence realvalue fee schedule · outpatient | $2,084 | $2,084 | $2,084 – $2,084 |
| 14 | Aetna all commercial plans fee schedule · outpatient | $2,733 | $2,733 | $2,733 – $2,733 |
| 15 | Kaiser hmo/ppo fee schedule · outpatient | $2,934 | $2,934 | $2,934 – $2,934 |
Last updated: Aug 27, 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.