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 SIMPLE:F/E/N/LMEMBR 12.6-20.0CM
Flushing, NY
See all hospitals reporting CPT 12016 →Price type
NewYork-Presbyterian Queens’s median price of $609 is 18% above the median hospital's median price ($516), higher than 59% 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: 9 payers, 18 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 | Anthem medicare advantage fee schedule · outpatient | $449.12 | $449.12 | $449.12 – $449.12 |
| 2 | Cigna medicare advantage fee schedule · outpatient | $472.76 | $472.76 | $472.76 – $472.76 |
| 3 | Aetna medicare advantage fee schedule · outpatient | $486.94 | $486.94 | $486.94 – $486.94 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $486.94 | $486.94 | $486.94 – $486.94 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $489.31 | $489.31 | $489.31 – $489.31 |
| 6 | Anthem medicaid fee schedule · outpatient | $569.21 | $569.21 | $569.21 – $569.21 |
| 7 | Anthem nystateofhealth plans fee schedule · outpatient | $569.21 | $569.21 | $569.21 – $569.21 |
| 8 | Molina medicaid/child health plus fee schedule · outpatient | $569.21 | $569.21 | $569.21 – $569.21 |
| 9 | UnitedHealthcare medicaid fee schedule · outpatient | $606.72 | $606.72 | $606.72 – $606.72 |
| 10 | UnitedHealthcare child health plus fee schedule · outpatient | $633.48 | $633.48 | $633.48 – $633.48 |
| 11 | Anthem child health plus fee schedule · outpatient | $853.82 | $853.82 | $853.82 – $853.82 |
| 12 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $1,163 | $1,163 | $1,163 – $1,163 |
| 13 | UnitedHealthcare all commercial plans fee schedule · outpatient | $1,168 | $1,168 | $1,168 – $1,168 |
| 14 | Beechstreet all commercial plans percent of total billed charges · outpatientfrom % of charges | $1,231 | $1,231 | $1,231 – $1,231 |
| 15 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $1,231 | $1,231 | $1,190 – $1,272 |
| 16 | Molina all nys essential plans fee schedule · outpatient | $1,281 | $1,281 | $1,281 – $1,281 |
| 17 | Anthem all nys essential plans fee schedule · outpatient | $1,890 | $1,890 | $1,890 – $1,890 |
| 18 | UnitedHealthcare all nys essential plans fee schedule · outpatient | $2,082 | $2,082 | $2,082 – $2,082 |
Last updated: Mar 31, 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.