Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm at Sanford Fargo Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ED 12016 SMPL RPR FACE 12.6-20.0 CM

Fargo, ND

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How this price compares nationally

Sanford Fargo Medical Center’s median price of $447 is 13% below the median hospital's median price ($516), higher than 39% of the 2,109 hospitals reporting CPT 12016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12016 at Sanford Fargo Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 27 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	Sanford Health Plan commercial/nd pers fee schedule · outpatient	$126.83	$126.83	$126.83 – $126.83
2	Sanford Health Plan group health/true fee schedule · outpatient	$126.83	$126.83	$126.83 – $126.83
3	Sanford Health Plan sd exchange commercial fee schedule · outpatient	$126.83	$126.83	$126.83 – $126.83
4	Sanford Health Plan sd exchange true fee schedule · outpatient	$126.83	$126.83	$126.83 – $126.83
5	Bcbs Mn pmap fee schedule · outpatient	$290.53	$290.53	$290.53 – $290.53
6	Sanford Health Plan medicare replacement case rate · outpatient	$379.55	$379.55	$379.55 – $379.55
7	Medica choice percent of total billed charges · outpatientfrom % of charges	$388.80	$388.80	$388.80 – $388.80
8	Ucare medicare replacement case rate · outpatient	$407.52	$407.52	$407.52 – $407.52
9	Aetna medicare replacement case rate · outpatient	$411.52	$411.52	$411.52 – $411.52
10	Bcbs Mn medicare replacement case rate · outpatient	$411.52	$411.52	$411.52 – $411.52
11	Bcbs Nd medicare replacement case rate · outpatient	$411.52	$411.52	$411.52 – $411.52
12	UnitedHealthcare medicare replacement case rate · outpatient	$411.52	$411.52	$411.52 – $411.52
13	Medica elect percent of total billed charges · outpatientfrom % of charges	$415.58	$415.58	$415.58 – $415.58
14	Ucare medicaid managed care fee schedule · outpatient	$417.91	$417.91	$417.91 – $417.91
15	UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges	$547.78	$547.78	$547.78 – $547.78
16	UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges	$547.78	$547.78	$547.78 – $547.78
17	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$607.31	$607.31	$607.31 – $607.31
18	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$607.31	$607.31	$607.31 – $607.31
19	Bcbs Mn commercial fee schedule · outpatient	$704.12	$704.12	$704.12 – $704.12
20	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$738.72	$738.72	$738.72 – $738.72
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$738.72	$738.72	$738.72 – $738.72
22	UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges	$752.54	$752.54	$752.54 – $752.54
23	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$752.54	$752.54	$752.54 – $752.54
24	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$777.60	$777.60	$777.60 – $777.60
25	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$777.60	$777.60	$777.60 – $777.60

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

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