Intermediate repair of face wound, 7.6-12.5 cm at St. Joseph Health System, LLC

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

12054 INTMD RPR FACE/MM 7.6-12.5CM

Wayne, IN

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Pricing by billing methodology

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $522 is 6% below the median hospital's median price ($554), higher than 46% of the 2,222 hospitals reporting CPT 12054. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12054 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 10 payers, 33 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	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$281	$281	—	—	—	$281 – $281
2	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$281	$281	—	—	—	$281 – $281
3	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
4	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
5	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
6	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$381	$381	—	—	—	$381 – $381
7	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$400	$400	—	—	—	$400 – $400
8	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$400	$400	—	—	—	$400 – $400
9	Aetna node aetna mcr adv facility · fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
10	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
11	Humana node humana mcr adv facility · fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
12	Anthem anthem in hip facility · fee schedule · outpatient	$430	$430	—	—	—	$430 – $430
13	Optum node united optum va ccn facility · per diem · outpatient	$430	$430	—	—	—	$430 – $430
14	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
15	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$592	$592	—	—	—	$592 – $592
16	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$592	$592	—	—	—	$592 – $592
17	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
18	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
19	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$645	$645	—	—	—	$645 – $645
20	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$653	$653	—	—	—	$653 – $653
21	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$653	$653	—	—	—	$653 – $653
22	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$679	$679	—	—	—	$679 – $679
23	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$679	$679	—	—	—	$679 – $679
24	Anthem anthem in work comp facility · other · outpatient	$688	$688	—	—	—	$688 – $688
25	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$696	$696	—	—	—	$696 – $696

Page 1 of 2 · 33 rates

Last updated: Apr 1, 2026

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