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 SIMP F/E/E/N/L/MM 12.6-20.0CM
O'Fallon, IL
See all hospitals reporting CPT 12016 →Price type
St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis’s median price of $810 is 57% above the median hospital's median price ($516), higher than 71% 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, 16 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 | Molina molina medicaid fee schedule · both | $165.87 | $165.87 | $165.87 – $165.87 |
| 2 | Aetna aetna medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 3 | Bcbs Il bcbs il medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 4 | Bcbs Il bcbs il mmai fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 5 | Bcbs Il blue cross blue shield of illinois medicare adv fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 6 | Humana humana medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 7 | UnitedHealthcare united health care medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 8 | Molina molina medicare fee schedule · both | $454.59 | $454.59 | $454.59 – $454.59 |
| 9 | UnitedHealthcare all commercial united healthcare case rate · both | $500.00 | $500.00 | $500.00 – $500.00 |
| 10 | UnitedHealthcare united healthcare behavioral health case rate · both | $500.00 | $500.00 | $500.00 – $500.00 |
| 11 | Aetna all commercial aetna percent of total billed charges · bothfrom % of charges | $719.33 | $719.33 | $719.33 – $719.33 |
| 12 | Cigna all commercial cigna percent of total billed charges · bothfrom % of charges | $748.92 | $748.92 | $748.92 – $748.92 |
| 13 | Aetna aetna hshs percent of total billed charges · bothfrom % of charges | $871.92 | $871.92 | $871.92 – $871.92 |
| 14 | First Health all commercial first health network percent of total billed charges · bothfrom % of charges | $1,157 | $1,157 | $1,157 – $1,157 |
| 15 | MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges | $1,246 | $1,246 | $1,246 – $1,246 |
| 16 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $1,557 | $1,557 | $1,557 – $1,557 |
Last updated: Mar 24, 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.