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
PR SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM
Rochester, NY
See all hospitals reporting CPT 12016 →Price type
Strong Memorial Hospital’s median price of $296 is 43% below the median hospital's median price ($516), higher than 12% 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, 34 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 | Highmark highmark bc/bs of western ny medicaid [170201], amerigroup (bswny alternate) [172001], community blue child health plus [514306], bc/bs of wny essential (no medicaid) [514307] fee schedule · both | $126.74 | $129.13 | $91.61 – $171.41 |
| 2 | Highmark highmark bc/bs medicare [130101] fee schedule · both | $145.50 | $148.74 | $99.89 – $204.08 |
| 3 | Molina molina medicaid [172301], molina essential (w/medicaid) [172302], molina child health plus [518901], molina essential (no medicaid) [518902] fee schedule · both | $152.76 | $152.76 | $111.64 – $193.88 |
| 4 | Excellus blue choice option medicaid [170601], excellus child health plus [220108],excellus healthy ny [220110], excellus essential (no medicaid) [220109], excellus essential (w/ medicaid) [170604], univera healthy ny [220112], univera essential (no medicaid) [22 fee schedule · both | $169.16 | $164.67 | $98.50 – $243.40 |
| 5 | Aetna aetna medicare [130001] fee schedule · both | $165.47 | $170.64 | $98.14 – $253.49 |
| 6 | UnitedHealthcare united healthcare medicare [130901], securehorizons direct [130902], united healthcare dual complete [130904], uhc medicare complete [130905] fee schedule · both | $184.48 | $184.48 | $115.46 – $253.49 |
| 7 | Highmark bc/bs of western ny [514301], community blue (buffalo ny) [514302], bc/bs of western ny healthy ny [514305], highmark bc/bs of northeastern ny [514308], highmark bc/bs of northeastern pa [514309], highmark bc/bs of pennsylvania [514311], highmark bc/bs o fee schedule · both | $183.97 | $188.68 | $130.87 – $256.23 |
| 8 | Humana humana medicare [131201] fee schedule · both | $194.98 | $200.15 | $116.61 – $294.05 |
| 9 | Excellus excellus metal tiers [220102],univera metal tiers individual [220113],univera metal tiers small group [220114] fee schedule · both | $217.38 | $224.09 | $98.14 – $380.81 |
| 10 | UnitedHealthcare united healthcare medicaid [171601], united healthcare essential (w/ medicaid [171602], united healthcare essential (no medicaid [515812], united healthcare child health plus [515813] fee schedule · both | $229.77 | $229.77 | $155.52 – $304.02 |
| 11 | UnitedHealthcare empire plan uhc [518001] fee schedule · both | $259.21 | $264.39 | $184.27 – $354.86 |
| 12 | Aetna aetna [270002], aetna chickering [270001], aetna ur [270003], aetna medical mutual ppo [270004], aetna travel [270005] fee schedule · both | $352.25 | $374.82 | $200.21 – $619.59 |
| 13 | UnitedHealthcare united health care student resources [515801], united healthcare - medica [515802], united healthcare [515803], united healthcare (kingston,ny) [515805], united healthcare 31350 [515807], united healthcare 31362 [515808], united healthcare oxford [515809 fee schedule · both | $407.31 | $412.67 | $296.17 – $539.89 |
| 14 | Excellus excellus bc/bs [220101],excellus ur [220105],excellus simply blue [220106],excellus blue choice [220107], univera [220104], excellus federal bluecross blue shield [220201], bc/bs out of area [2401] fee schedule · both | $395.62 | $424.56 | $129.85 – $854.95 |
| 15 | Blue Cross Blue Shield medicare blue choice [130601] fee schedule · outpatient | $427.40 | $427.40 | $427.40 – $427.40 |
| 16 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $490.12 | $490.12 | $472.79 – $507.45 |
| 17 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $522.07 | $522.07 | $520.07 – $524.06 |
| 18 | Aetna aetna medicare [130001] fee schedule · outpatient | $554.01 | $554.01 | $540.67 – $567.35 |
| 19 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $577.42 | $577.42 | $472.79 – $682.05 |
| 20 | Humana humana medicare [131201] fee schedule · outpatient | $579.57 | $579.57 | $553.96 – $605.17 |
| 21 | Cigna cigna (desmoines ia) [514401], cigna healthcare (pob 182223) [514405], cigna international [514410], great west life and annuaty ins [514411], cigna healthcare (pob 188061) [514412], health partners [514413] fee schedule · both | $604.71 | $657.82 | $295.43 – $1,052 |
| 22 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $894.31 | $894.31 | $894.31 – $894.31 |
| 23 | Excellus excellus high performance [220103] fee schedule · outpatient | $894.31 | $894.31 | $894.31 – $894.31 |
| 24 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $1,005 | $1,005 | $1,005 – $1,005 |
| 25 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107], excellus high performance [220103] fee schedule · outpatient | $1,346 | $1,346 | $1,346 – $1,346 |
Last updated: Jul 1, 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.