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 Rpr Lac Smp Face 12.6-20.0 Cm
GREENVILLE, SC
See all hospitals reporting CPT 12016 →Price type
Prisma Health Greenville Memorial Hospital’s median price of $405 is 22% below the median hospital's median price ($516), higher than 27% 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: 13 payers, 30 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 ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $166.94 | $166.94 | $166.94 – $166.94 |
| 2 | WellCare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $166.94 | $166.94 | $166.94 – $166.94 |
| 3 | Blue Cross Blue Shield phu hb upstate blue exchange reedy - gmh fee schedule · both | $202.30 | $202.30 | $202.30 – $202.30 |
| 4 | Blue Cross Blue Shield phu hb blues exchange gmh fee schedule · both | $241.29 | $241.29 | $241.29 – $241.29 |
| 5 | Blue Cross Blue Shield phu hb bcbs state gmh rcp fee schedule · both | $279.15 | $279.15 | $279.15 – $279.15 |
| 6 | Blue Cross Blue Shield phu hb 100% of medicare - gmh other · both | $385.42 | $385.42 | $385.42 – $385.42 |
| 7 | Cigna phu hb 100% of medicare - gmh other · both | $385.42 | $385.42 | $385.42 – $385.42 |
| 8 | Devoted phu hb 100% of medicare - gmh other · both | $385.42 | $385.42 | $385.42 – $385.42 |
| 9 | Humana phu hb humana medicare pffs - gmh other · both | $392.90 | $392.90 | $392.90 – $392.90 |
| 10 | Blue Cross Blue Shield phu hb 102% of medicare - gmh other · both | $393.13 | $393.13 | $393.13 – $393.13 |
| 11 | UnitedHealthcare phu hb uhc medicare - gmh other · both | $398.91 | $398.91 | $398.91 – $398.91 |
| 12 | Humana phu hb 104% humana medicare - gmh other · both | $400.60 | $400.60 | $400.60 – $400.60 |
| 13 | Aetna phu hb aetna ppo/hmo medicare - gmh other · both | $404.69 | $404.69 | $404.69 – $404.69 |
| 14 | Aetna phu hb aetna prime hmo medicare - gmh other · both | $404.69 | $404.69 | $404.69 – $404.69 |
| 15 | Cigna phu hb 105% of medicare - gmh other · both | $404.69 | $404.69 | $404.69 – $404.69 |
| 16 | Molina phu hb 105% of medicare - gmh other · both | $404.69 | $404.69 | $404.69 – $404.69 |
| 17 | WellCare phu hb 105% of medicare - gmh other · both | $404.69 | $404.69 | $404.69 – $404.69 |
| 18 | WellCare phu hb absolute total care medicare gmh other · both | $404.69 | $404.69 | $404.69 – $404.69 |
| 19 | Molina phu hb molina dual eligible gmh other · both | $423.96 | $423.96 | $423.96 – $423.96 |
| 20 | Caresource phu hb 100% of medicaid - gmh fee schedule · both | $443.41 | $443.41 | $443.41 – $443.41 |
| 21 | Blue Cross Blue Shield phu hb bcbs ppc gmh fee schedule · both | $507.56 | $507.56 | $507.56 – $507.56 |
| 22 | Molina phu hb 103% of medicaid - gmh fee schedule · both | $514.18 | $514.18 | $514.18 – $514.18 |
| 23 | Magellan phu hb magellan behavioral percent of total billed charges · bothfrom % of charges | $650.40 | $650.40 | $650.40 – $650.40 |
| 24 | Aetna phu hb aetna sc preferred percent of total billed charges · bothfrom % of charges | $693.76 | $693.76 | $693.76 – $693.76 |
| 25 | Cigna phu hb cigna percent of total billed charges · bothfrom % of charges | $752.30 | $752.30 | $752.30 – $752.30 |
Last updated: Mar 1, 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.