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
PF RPR WND INTRM F/E/E/N 2.6-5.0CM
Page, AZ
See all hospitals reporting CPT 12052 →Price type
Page Hospital’s median price of $302 is 41% below the median hospital's median price ($508), higher than 10% of the 2,395 hospitals reporting CPT 12052. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 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 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Humana medicare advantage facility · fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $258 | $258 | — | — | — | $258 – $258 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $302 | $302 | — | — | — | $302 – $302 |
| 9 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 10 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 11 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $343 | $343 | — | — | — | $343 – $343 |
| 12 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $373 | $373 | — | — | — | $373 – $373 |
| 13 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $376 | $376 | — | — | — | $376 – $376 |
| 14 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 15 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 16 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $453 | $453 | — | — | — | $453 – $453 |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $470 | $470 | — | — | — | $470 – $470 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
Last updated: Mar 2, 2026
See Intermediate repair of face and mouth wound, 2.6-5.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.