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 Repair Sup Face 2.5/Less
Utica, NY
See all hospitals reporting CPT 12011 →Price type
MVHS, Inc.’s median price of $223 is 18% below the median hospital's median price ($272), higher than 37% 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: 12 payers, 40 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 uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $11.20 | $11.20 | $11.20 – $11.20 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $19.20 | $19.20 | $19.20 – $19.20 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $19.20 | $19.20 | $19.20 – $19.20 |
| 4 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $20.31 | $20.31 | $20.31 – $20.31 |
| 5 | Aetna aetna medicare advantage fee schedule · both | $25.78 | $25.78 | $25.78 – $25.78 |
| 6 | Humana choicecare fee schedule · both | $25.78 | $25.78 | $25.78 – $25.78 |
| 7 | Humana humana medicare advantage fee schedule · both | $25.78 | $25.78 | $25.78 – $25.78 |
| 8 | Medicare medicare fee schedule · both | $25.78 | $25.78 | $25.78 – $25.78 |
| 9 | WellCare wellcare fee schedule · both | $26.56 | $26.56 | $26.56 – $26.56 |
| 10 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $32.22 | $32.22 | $32.22 – $32.22 |
| 11 | Cigna mvp hmo/ppo fee schedule · both | $36.26 | $36.26 | $36.26 – $36.26 |
| 12 | UnitedHealthcare uhc commercial per diem · inpatient | $86.00 | $86.00 | $86.00 – $86.00 |
| 13 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $110.00 | $110.00 | $110.00 – $110.00 |
| 14 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $264.04 | $264.04 | $264.04 – $264.04 |
| 15 | Humana humana military other · outpatient | $267.33 | $267.33 | $223.38 – $311.28 |
| 16 | Tricare humana military other · outpatient | $267.33 | $267.33 | $223.38 – $311.28 |
| 17 | Excellus excellus bcbs medicare advantage other · outpatient | $295.60 | $295.60 | $250.45 – $340.75 |
| 18 | Humana humana medicare advantage other · outpatient | $295.60 | $295.60 | $250.45 – $340.75 |
| 19 | Medicare medicare other · outpatient | $295.60 | $295.60 | $250.45 – $340.75 |
| 20 | Optum vaccn optum other · outpatient | $295.60 | $295.60 | $250.45 – $340.75 |
| 21 | UnitedHealthcare uhc medicare advantage other · outpatient | $298.56 | $298.56 | $252.95 – $344.16 |
| 22 | Aetna aetna medicare advantage other · outpatient | $301.52 | $301.52 | $255.46 – $347.57 |
| 23 | WellCare wellcare medicare advantage other · outpatient | $304.47 | $304.47 | $257.96 – $350.98 |
| 24 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $353.62 | $353.62 | $251.35 – $455.88 |
| 25 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $399.60 | $399.60 | $399.60 – $399.60 |
Last updated: Aug 7, 2026
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