Code: 12011

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 2.5CM/<
Other Descriptions:
WOUND FACE 0.0 - 2.5CM
RSW SIMPLE FACE <2.5CM
SMPL REPAIR FAC EARS EYEL
SMP REPAIR FACE/EAR2.5CM
REPAIR SW FACE/EAR <=2.5
REPAIR SIM B +ADw-2.5CM PF
Rpr f/e/e/n/l/m 2.5 cm/+ADw-
Repair Fac/ear<=2.5cm
Related codes:
Code: 12013
HC SMPL RPR SUPFC F/E/E/N/L/M 2.6CM-5.0CM
Code: 12014
HC SMPL RPR SUPFC F/E/E/N/L/M 5.1CM-7.5CM
Code: 12015
HC SMPL RPR SUPFC F/E/E/N/L/M 7.6CM-12.5CM
Code: 12016
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Code: 12017
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Code: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12011 $100 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 12011 $111 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 12011 $111 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12011 $164 [source] 3 years ago
River Falls Area Hospital , River Falls 12011 $181 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 12011 $284 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12011 $340 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 12011 $355 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 12011 $376 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 12011 $405 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 12011 $442 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 12011 $442 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 12011 $442 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 12011 $450 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12011 $470 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12011 $949 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12011 $1,093 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12011 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12011 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12011 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12011 $1,265 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.