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 Layer Closure 20.1-30cm
Utica, NY
See all hospitals reporting CPT 12036 →Price type
MVHS, Inc.’s median price of $164 is 81% below the median hospital's median price ($845), higher than 1% of the 2,156 hospitals reporting CPT 12036. 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, 23 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 | $58 | $58 | — | — | — | $58 – $58 |
| 2 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Aetna aetna medicare advantage fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 7 | Medicare medicare fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 8 | Humana choicecare fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 9 | Humana humana medicare advantage fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 10 | WellCare wellcare fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 11 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 12 | Cigna mvp hmo/ppo fee schedule · both | $185 | $185 | — | — | — | $185 – $185 |
| 13 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 14 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $589 | $589 | — | — | — | $589 – $589 |
| 15 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $878 | $878 | — | — | — | $878 – $878 |
| 16 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $957 | $957 | — | — | — | $957 – $957 |
| 17 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Cigna mvp and cigna commercial other · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Aug 7, 2026
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