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
ED 12016 SMPL RPR FACE 12.6-20.0 CM
Bismarck, ND
See all hospitals reporting CPT 12016 →Price type
Sanford Medical Center Bismarck’s median price of $538 is 4% above the median hospital's median price ($516), higher than 53% 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: 8 payers, 23 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 | Sanford Health Plan medicare replacement case rate · outpatient | $379.55 | $379.55 | $379.55 – $379.55 |
| 6 | Ucare medicare replacement case rate · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 7 | Aetna medicare replacement case rate · outpatient | $411.52 | $411.52 | $411.52 – $411.52 |
| 8 | Bcbs Nd medicare replacement case rate · outpatient | $411.52 | $411.52 | $411.52 – $411.52 |
| 9 | UnitedHealthcare medicare replacement case rate · outpatient | $411.52 | $411.52 | $411.52 – $411.52 |
| 10 | Medica choice percent of total billed charges · outpatientfrom % of charges | $521.65 | $521.65 | $521.65 – $521.65 |
| 11 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $538.42 | $538.42 | $538.42 – $538.42 |
| 12 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $553.44 | $553.44 | $553.44 – $553.44 |
| 13 | Medica elect percent of total billed charges · outpatientfrom % of charges | $558.41 | $558.41 | $558.41 – $558.41 |
| 14 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $559.18 | $559.18 | $559.18 – $559.18 |
| 15 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $563.78 | $563.78 | $563.78 – $563.78 |
| 16 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $635.78 | $635.78 | $635.78 – $635.78 |
| 17 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $635.78 | $635.78 | $635.78 – $635.78 |
| 18 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $648.04 | $648.04 | $648.04 – $648.04 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $648.04 | $648.04 | $648.04 – $648.04 |
| 20 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $689.40 | $689.40 | $689.40 – $689.40 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $689.40 | $689.40 | $689.40 – $689.40 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $689.40 | $689.40 | $689.40 – $689.40 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $689.40 | $689.40 | $689.40 – $689.40 |
Last updated: Mar 4, 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.