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 REPAIR F/E/E/N/L 7.6-
Ord, NE
See all hospitals reporting CPT 12054 →Price type
Valley County Hospital’s median price of $349 is 37% below the median hospital's median price ($554), higher than 10% of the 2,235 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: 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare managed medicaid professional · fee schedule · both | $149 | $149 | — | — | — | $149 – $149 |
| 2 | Molina managed medicaid/chip professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 3 | Molina dual eligible plan professional · fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 4 | Bcbs Ne medicare advantage professional · fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 5 | Medica medicare advantage professional · fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 7 | Humana medicare advantage professional · fee schedule · both | $185 | $185 | — | — | — | $185 – $185 |
| 8 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 9 | Aetna medicare advantage professional · fee schedule · both | $190 | $190 | — | — | — | $190 – $190 |
| 10 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
| 11 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
| 12 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
| 13 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 14 | Medica individual and family business plans professional · fee schedule · both | $349 | $349 | — | — | — | $349 – $349 |
| 15 | Bcbs Ne commercial professional · case rate · both | $365 | $365 | — | — | — | $365 – $365 |
| 16 | Medica commercial plans/care system products professional · fee schedule · both | $367 | $367 | — | — | — | $367 – $367 |
| 17 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 18 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 19 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $513 | $513 | — | — | — | $513 – $513 |
| 20 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $534 | $534 | — | — | — | $534 – $534 |
| 21 | MultiPlan primary/complementary ppo professional · fee schedule · both | $586 | $586 | — | — | — | $586 – $586 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $890 | $890 | — | — | — | $890 – $890 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $890 | $890 | — | — | — | $890 – $890 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $939 | $939 | — | — | — | $939 – $939 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $939 | $939 | — | — | — | $939 – $939 |
Last updated: Jun 15, 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.