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 12016 SMPL REP F/E/E/N/L/MM; 12.6-20.0 CM
San Antonio, TX
See all hospitals reporting CPT 12016 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $375 is 27% below the median hospital's median price ($516), higher than 18% 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: 12 payers, 35 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 | Aetna chip km fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 2 | Aetna star km fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 3 | Bcbs Tx star chip km fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 4 | Molina chip km fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 5 | Molina star plus km fee schedule · outpatient | $143.08 | $143.08 | $143.08 – $143.08 |
| 6 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $290.75 | $290.75 | $290.75 – $290.75 |
| 7 | Humana choicecare other · outpatient | $361.00 | $361.00 | $361.00 – $361.00 |
| 8 | UnitedHealthcare chip km case rate · outpatient | $363.36 | $363.36 | $363.36 – $363.36 |
| 9 | UnitedHealthcare star km case rate · outpatient | $363.36 | $363.36 | $363.36 – $363.36 |
| 10 | UnitedHealthcare star plus km case rate · outpatient | $363.36 | $363.36 | $363.36 – $363.36 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $373.83 | $373.83 | $373.83 – $373.83 |
| 12 | Aetna mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 13 | Bcbs Tx mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 14 | Humana gold choice mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 15 | Humana gold plus mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 16 | Molina medicare adv mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 18 | WellCare mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 19 | Bcbs Tx heb fee schedule · outpatient | $383.41 | $383.41 | $383.41 – $383.41 |
| 20 | Devoted mm fee schedule · outpatient | $405.16 | $405.16 | $405.16 – $405.16 |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $424.95 | $424.95 | $424.95 – $424.95 |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $437.73 | $437.73 | $437.73 – $437.73 |
| 23 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $1,074 | $1,074 | $956.16 – $1,191 |
| 24 | UnitedHealthcare all payer case rate · outpatient | $1,082 | $1,082 | $1,082 – $1,082 |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $1,119 | $1,119 | $996.00 – $1,241 |
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.