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 INT REP F/E/N/L/MM 5.1-7.5CM
Quitman, MS
See all hospitals reporting CPT 12053 →Price type
Rush Medical Foundation’s median price of $226 is 57% below the median hospital's median price ($520), higher than 5% of the 2,286 hospitals reporting CPT 12053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 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 all payor fee schedule · outpatient | $175 | $175 | $18 | 10% | — | $158 – $193 |
| 2 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Optum all payor fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 5 | WellCare all payor fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 6 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 7 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 8 | Cigna Healthspring all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 9 | Humana all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 10 | Optum all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 11 | UnitedHealthcare all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 12 | Ambetter all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 13 | Molina all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 14 | WellCare all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 15 | Molina all payor fee schedule · outpatient | $195 | $221 | $53 | 24% | — | $174 – $295 |
| 16 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 17 | Ambetter all payor fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 18 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 19 | Bcbs Ms all payor other · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 20 | Cigna all payor fee schedule · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 21 | Aetna all payor fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 22 | MultiPlan all payor fee schedule · outpatient | $410 | $410 | — | — | — | $410 – $410 |
| 23 | UnitedHealthcare all payor fee schedule · outpatient | $545 | $427 | $166 | 39% | — | $193 – $545 |
| 24 | Bcbs Ms all payor fee schedule · outpatient | $426 | $531 | $155 | 29% | — | $418 – $750 |
Last updated: Apr 1, 2026
See Layered wound repair, face or mucous membrane, 5.1-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.