Simple repair of face or neck wound, 2.6 to 5 cm at UPMC Northwest

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SMPL LAC RPR 2.6-5CM FACE

Seneca, PA

See all hospitals reporting CPT 12013 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

UPMC Northwest’s median price of $338 is 21% above the median hospital's median price ($280), higher than 60% of the 2,435 hospitals reporting CPT 12013. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12013 at UPMC Northwest

Negotiated rates from the hospital’s own file: 7 payers, 30 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare unison kids facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
2	Aetna medicaid facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
3	Highmark medicaid facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
5	Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
6	Aetna medicare facility · fee schedule · outpatient	$197	$197	$2	1%	—	$195 – $199
7	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
8	Highmark medicare facility · fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
9	Amerihealth Caritas medicare facility · fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
10	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
11	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$259	$259	—	—	—	$259 – $259
12	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$259	$259	—	—	—	$259 – $259
13	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$259	$259	—	—	—	$259 – $259
14	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$259	$259	—	—	—	$259 – $259
15	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$338	$338	—	—	—	$338 – $338
16	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
17	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$389	$389	—	—	—	$389 – $389
18	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$389	$389	—	—	—	$389 – $389
19	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$400	$400	—	—	—	$400 – $400
20	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$402	$402	—	—	—	$402 – $402
21	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$408	$408	—	—	—	$408 – $408
22	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$408	$408	—	—	—	$408 – $408
23	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$413	$413	—	—	—	$413 – $413
24	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$416	$416	—	—	—	$416 – $416
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$421	$421	—	—	—	$421 – $421

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

Compare to other hospitals

See Simple repair of face or neck wound, 2.6 to 5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.