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
LAC REP SIM FACE ER7.6-12.5450
Bonham, TX
See all hospitals reporting CPT 12015 →Price type
TMC Bonham Hospital’s median price of $108 is 65% below the median hospital's median price ($309), higher than 3% of the 2,270 hospitals reporting CPT 12015. 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, 14 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 medicare percent of total billed charges · bothfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Humana medicare percent of total billed charges · bothfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 3 | UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 4 | Blue Cross Blue Shield qhp case rate · both | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Molina medicaid case rate · both | $102 | $97 | $13 | 14% | — | $78 – $109 |
| 6 | Superior Healthplan medicaid case rate · both | $101 | $101 | $3 | 3% | — | $97 – $104 |
| 7 | UnitedHealthcare medicaid case rate · both | $101 | $101 | $3 | 3% | — | $97 – $104 |
| 8 | Ambetter qhp percent of total billed charges · bothfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 9 | Cigna hmo percent of total billed charges · bothfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Blue Cross Blue Shield hmo case rate · both | $179 | $179 | — | — | — | $179 – $179 |
| 11 | Blue Cross Blue Shield managed_care case rate · both | $179 | $179 | — | — | — | $179 – $179 |
| 12 | Blue Cross Blue Shield ppo case rate · both | $179 | $179 | — | — | — | $179 – $179 |
| 13 | UnitedHealthcare managed_care case rate · both | $400 | $400 | — | — | — | $400 – $400 |
| 14 | Aetna ppo case rate · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Sep 1, 2026
See Intermediate repair of face, ear, nose or lip, 7.6-12.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.