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 INT REP F/E/E/N/L 5.1-7.5 CM
Hanover, PA
See all hospitals reporting CPT 12053 →Price type
UPMC Hanover’s median price of $419 is 19% below the median hospital's median price ($520), higher than 31% of the 2,286 hospitals reporting CPT 12053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $62 | $62 | $2 | 3% | — | $60 – $64 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $259 | $259 | — | — | — | $259 – $259 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 4 | Humana medicare facility · fee schedule · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $401 | $401 | — | — | — | $401 – $401 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $663 | $663 | $603 | 91% | — | $60 – $1.3k |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $775 | $775 | — | — | — | $775 – $775 |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $928 | $928 | — | — | — | $928 – $928 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $928 | $928 | — | — | — | $928 – $928 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $994 | $994 | — | — | — | $994 – $994 |
| 13 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Highmark commercial facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Cigna commercial facility · case rate · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
Last updated: Mar 6, 2026
See Layered wound repair, face or mucous membrane, 5.1-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.