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
RPR FE/E/EN/L/M 12.6-20.0 CM
San Marcos, TX
See all hospitals reporting CPT 12016 →Price type
Santa Rosa Hospital - San Marcos’s median price of $389 is 25% below the median hospital's median price ($516), higher than 22% 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, 19 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 | Bcbs Tx star kids km fee schedule · outpatient | $145.94 | $145.94 | $145.94 – $145.94 |
| 2 | Bcbs Tx star km fee schedule · outpatient | $145.94 | $145.94 | $145.94 – $145.94 |
| 3 | UnitedHealthcare star kids km case rate · outpatient | $374.64 | $374.64 | $374.64 – $374.64 |
| 4 | UnitedHealthcare star km case rate · outpatient | $374.64 | $374.64 | $374.64 – $374.64 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $383.41 | $383.41 | $383.41 – $383.41 |
| 6 | Humana mm fee schedule · outpatient | $387.18 | $387.18 | $387.18 – $387.18 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $387.18 | $387.18 | $387.18 – $387.18 |
| 8 | WellCare mm fee schedule · outpatient | $387.18 | $387.18 | $387.18 – $387.18 |
| 9 | Humana choicecare other · outpatient | $390.00 | $390.00 | $390.00 – $390.00 |
| 10 | Aetna mm fee schedule · outpatient | $394.92 | $394.92 | $394.92 – $394.92 |
| 11 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $398.80 | $398.80 | $398.80 – $398.80 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $415.36 | $415.36 | $415.36 – $415.36 |
| 13 | Devoted mm fee schedule · outpatient | $418.15 | $418.15 | $418.15 – $418.15 |
| 14 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $431.34 | $431.34 | $431.34 – $431.34 |
| 15 | Bcbs Tx heb fee schedule · outpatient | $801.97 | $801.97 | $801.97 – $801.97 |
| 16 | Healthcare Highways ppo fee schedule · outpatient | $979.57 | $979.57 | $979.57 – $979.57 |
| 17 | UnitedHealthcare all payer case rate · outpatient | $1,902 | $1,902 | $1,902 – $1,902 |
| 18 | Cigna new business case rate · outpatient | $5,201 | $5,201 | $5,201 – $5,201 |
| 19 | Cigna ppo case rate · outpatient | $6,603 | $6,603 | $6,603 – $6,603 |
Last updated: Jan 13, 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.