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
INT LAC RPR 7.6-12.5CM FACE
Pittsburgh, PA
See all hospitals reporting CPT 12054 →Price type
UPMC Mercy’s median price of $1.2k is 120% above the median hospital's median price ($554), higher than 80% of the 2,222 hospitals reporting CPT 12054. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 29 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 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $409 | $409 | $10 | 2% | — | $400 – $419 |
| 5 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $411 | $411 | — | — | — | $411 – $411 |
| 6 | Highmark medicare facility · fee schedule · outpatient | $411 | $411 | — | — | — | $411 – $411 |
| 7 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $730 | $730 | — | — | — | $730 – $730 |
| 8 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $851 | $851 | — | — | — | $851 – $851 |
| 9 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $928 | $928 | — | — | — | $928 – $928 |
| 10 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $933 | $933 | — | — | — | $933 – $933 |
| 11 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $945 | $945 | — | — | — | $945 – $945 |
| 12 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $305 | 20% | — | $1.2k – $1.8k |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $305 | 20% | — | $1.2k – $1.8k |
| 24 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Highmark managed care facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Mar 6, 2026
See Intermediate repair of face wound, 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.