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 Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb 5.1 - 7.5 Cm
Troy, NY
See all hospitals reporting CPT 12053 →Price type
Samaritan Hospital’s median price of $3.1k is 490% above the median hospital's median price ($520), higher than 97% 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: 13 payers, 34 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 empire medicaid facility · fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 2 | Excellus empire medicaid facility · fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 3 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 4 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 5 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 6 | Anthem empire bcbs medicare advantage facility · other · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 8 | Aetna aetna medicare advantage facility · other · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 9 | WellCare wellcare medicare advantage facility · other · outpatient | $555 | $555 | — | — | — | $555 – $555 |
| 10 | Excellus blue shield of ne new york medicare adv facility · other · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 11 | Highmark blue shield of ne new york medicare adv facility · other · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 12 | WellCare wellcare ep 1&2 medicaid facility · other · outpatient | $812 | $812 | — | — | — | $812 – $812 |
| 13 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient | $904 | $904 | — | — | — | $904 – $904 |
| 14 | Anthem empire bcbs blue access facility · other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Anthem empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Wellmark empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Highmark blue shield of ne new york ascend facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Carefirst blue shield of ne new york hmo facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 22 | Highmark blue shield of ne new york hmo facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 23 | Wellmark blue shield of ne new york hmo facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 24 | Aetna aetna facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | Medical Mutual aetna facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Mar 31, 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.