Code: 12017

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Other Descriptions:
RSW SIMPLE FACE 20.1CM-30CM
SIM LAC FACE-EAR 20.1-30CM
Rpr fe/e/en/l/m 20.1-30.0 cm
SMP LAC.FCE/EAR 20.1-30CM
REPAIR SIM B 20.1+AC0-30.0CM PF
Rpr fe/e/en/l/m 20.1+AC0-30.0 cm
Related codes:
Code: 12011
HC SMPL RPR SUPFC F/E/E/N/L/M 2.5CM/<
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: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
Florida
Hospital Address Code Price Last Updated
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando 12017 $168 [source] 3 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze 12017 $184 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay 12017 $290 [source] 3 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka 12017 $509 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills 12017 $509 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares 12017 $509 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala 12017 $509 [source] 3 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee 12017 $509 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City 12017 $509 [source] 3 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando 12017 $509 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa 12017 $509 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills 12017 $509 [source] 3 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando 12017 $509 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula 12017 $509 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa 12017 $509 [source] 3 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales 12017 $509 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring 12017 $509 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach 12017 $509 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs 12017 $509 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa 12017 $509 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City 12017 $509 [source] 3 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park 12017 $509 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland 12017 $509 [source] 3 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa 12017 $509 [source] 3 years ago
Ascension St. Vincent's Clay County 1670 St Vincents Way, Middleburg 12017 $574 [source] 3 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach 12017 $602 [source] 3 years ago
St Vincents Medical Center Riverside 1 Shircliff Way, Jacksonville 12017 $932 [source] 3 years ago
Ascension St. Vincent's Southside 4201 Belfort Rd, Jacksonville 12017 $932 [source] 3 years ago
Manatee Healthcare System 206 Second Street East, Bradenton 12017 $1,061 [source] 3 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton 12017 $1,061 [source] 3 years ago
Bay Medical Center Sacred Heart Health System 615 N Bonita Ave, Panama City 12017 $1,353 [source] 3 years ago
Baptist Hospital 1000 West Moreno St, Pensacola 12017 $2,223 [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.