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
SMP RPR F/E/E/N/L 12.6-20
Ord, NE
See all hospitals reporting CPT 12016 →Price type
Valley County Hospital’s median price of $208 is 60% below the median hospital's median price ($516), higher than 6% of the 2,109 hospitals reporting CPT 12016. 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, 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Ne medicare advantage professional · fee schedule · both | $108.44 | $108.44 | $108.44 – $108.44 |
| 2 | Medica medicare advantage professional · fee schedule · both | $108.44 | $108.44 | $108.44 – $108.44 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $108.44 | $108.44 | $108.44 – $108.44 |
| 4 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $110.20 | $110.20 | $110.20 – $110.20 |
| 5 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $110.20 | $110.20 | $110.20 – $110.20 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $110.20 | $110.20 | $110.20 – $110.20 |
| 7 | Humana medicare advantage professional · fee schedule · both | $110.61 | $110.61 | $110.61 – $110.61 |
| 8 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $111.69 | $111.69 | $111.69 – $111.69 |
| 9 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $112.40 | $112.40 | $112.40 – $112.40 |
| 10 | Aetna medicare advantage professional · fee schedule · both | $113.86 | $113.86 | $113.86 – $113.86 |
| 11 | UnitedHealthcare managed medicaid professional · fee schedule · both | $126.17 | $126.17 | $126.17 – $126.17 |
| 12 | Molina managed medicaid/chip professional · fee schedule · both | $127.41 | $127.41 | $127.41 – $127.41 |
| 13 | Molina dual eligible plan professional · fee schedule · both | $129.89 | $129.89 | $129.89 – $129.89 |
| 14 | Medica individual and family business plans professional · fee schedule · both | $208.42 | $208.42 | $208.42 – $208.42 |
| 15 | Bcbs Ne commercial professional · case rate · both | $218.02 | $218.02 | $218.02 – $218.02 |
| 16 | Medica commercial plans/care system products professional · fee schedule · both | $219.50 | $219.50 | $219.50 – $219.50 |
| 17 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $264.48 | $264.48 | $264.48 – $264.48 |
| 18 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $283.77 | $283.77 | $283.77 – $283.77 |
| 19 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $289.28 | $289.28 | $289.28 – $289.28 |
| 20 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $300.79 | $300.79 | $300.79 – $300.79 |
| 21 | MultiPlan primary/complementary ppo professional · fee schedule · both | $350.26 | $350.26 | $350.26 – $350.26 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $501.41 | $501.41 | $501.41 – $501.41 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $501.41 | $501.41 | $501.41 – $501.41 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $528.96 | $528.96 | $528.96 – $528.96 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $528.96 | $528.96 | $528.96 – $528.96 |
Last updated: Jun 15, 2026
See Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.