Repair of facial wound, 5.1-7.5 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SMPL LAC RPR 5.1-7.5CM FACE

Seneca, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Northwest’s median price of $531 is 80% above the median hospital's median price ($295), higher than 74% of the 2,356 hospitals reporting CPT 12014. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12014 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.

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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	$407	$407	—	—	—	$407 – $407
12	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$407	$407	—	—	—	$407 – $407
13	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$407	$407	—	—	—	$407 – $407
14	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$407	$407	—	—	—	$407 – $407
15	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$531	$531	—	—	—	$531 – $531
16	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$590	$590	—	—	—	$590 – $590
17	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
18	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
19	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$628	$628	—	—	—	$628 – $628
20	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$631	$631	—	—	—	$631 – $631
21	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$641	$641	—	—	—	$641 – $641
22	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$641	$641	—	—	—	$641 – $641
23	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$648	$648	—	—	—	$648 – $648
24	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$654	$654	—	—	—	$654 – $654
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$662	$662	—	—	—	$662 – $662

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

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See Repair of facial wound, 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.