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
HB Rpr F/E/E/N/L/M 2.5 Cm/<
Lake Forest, IL
See all hospitals reporting CPT 12011 →Price type
Northwestern Lake Forest Hospital’s median price of $18.5k is 6713% above the median hospital's median price ($272), higher than 100% 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: 8 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna nlfh aetna percent of total billed charges · outpatientfrom % of charges | $331.53 | $331.53 | $331.53 – $331.53 |
| 2 | Aetna nlfh aetna asa percent of total billed charges · outpatientfrom % of charges | $350.81 | $350.81 | $350.81 – $350.81 |
| 3 | UnitedHealthcare nlfh uhc core case rate · outpatient | $5,282 | $5,282 | $5,282 – $5,282 |
| 4 | UnitedHealthcare nlfh uhc hmo/ppo case rate · outpatient | $5,868 | $5,868 | $5,868 – $5,868 |
| 5 | Aetna nlfh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $12,073 | $12,073 | $127.99 – $24,018 |
| 6 | Blue Cross Blue Shield nlfh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $15,411 | $15,411 | $163.37 – $30,659 |
| 7 | Blue Cross Blue Shield nlfh advocate ipa other · outpatient | $18,520 | $18,520 | $18,520 – $18,520 |
| 8 | Blue Cross Blue Shield nlfh blue cross medicare advt other · outpatient | $18,520 | $18,520 | $18,520 – $18,520 |
| 9 | Humana nlfh advocate ipa other · outpatient | $18,520 | $18,520 | $18,520 – $18,520 |
| 10 | Humana nlfh humana medicare advt other · outpatient | $18,520 | $18,520 | $18,520 – $18,520 |
| 11 | Cigna nlfh cigna alternative percent of total billed charges · outpatientfrom % of charges | $27,156 | $27,156 | $290.67 – $54,022 |
| 12 | Blue Cross Blue Shield nlfh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $33,711 | $33,711 | $33,711 – $33,711 |
| 13 | Blue Cross Blue Shield nlfh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $33,711 | $33,711 | $33,711 – $33,711 |
| 14 | Blue Cross Blue Shield nlfh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $33,711 | $33,711 | $33,711 – $33,711 |
| 15 | Blue Cross Blue Shield nlfh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $38,920 | $38,920 | $38,920 – $38,920 |
| 16 | Cigna nlfh cigna broad percent of total billed charges · outpatientfrom % of charges | $46,664 | $46,664 | $499.61 – $92,828 |
| 17 | Beechstreet nlfh phcs percent of total billed charges · outpatientfrom % of charges | $52,033 | $52,033 | $616.80 – $103,449 |
| 18 | MultiPlan nlfh phcs percent of total billed charges · outpatientfrom % of charges | $52,033 | $52,033 | $616.80 – $103,449 |
| 19 | First Health nlfh first health percent of total billed charges · outpatientfrom % of charges | $56,020 | $56,020 | $632.22 – $111,407 |
| 20 | Blue Cross Blue Shield nlfh bc lake county phys assoc ipa percent of total billed charges · outpatientfrom % of charges | $72,516 | $72,516 | $346.95 – $144,684 |
| 21 | Blue Cross Blue Shield nlfh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $72,728 | $72,728 | $771.00 – $144,684 |
| 22 | MultiPlan nlfh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $72,728 | $72,728 | $771.00 – $144,684 |
| 23 | UnitedHealthcare nlfh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $72,728 | $72,728 | $771.00 – $144,684 |
Last updated: Apr 1, 2026
See Simple repair of facial wound up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.