REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (CPT 12052)
12052 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
79 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| East Morgan County Hospital | Brush, CO | $208.74 | $415 | $428.83 | 0.5× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $222.44 | $415 | $415.32 | 0.5× |
| Washakie Medical Center | Worland, WY | $248.58 | $415 | $415.32 | 0.6× |
| Platte County Hospital | Wheatland, WY | $254.39 | $415 | $415.32 | 0.6× |
| Rio Grande Hospital | Del Norte, CO | $264.97 | $353.29 | $428.83 | 0.6× |
| Denver Health Medical Center | Denver, CO | $297.04 | $848.66 | $428.83 | 0.7× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $312.90 | $521.50 | $408.37 | 0.8× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $337.15 | $613 | $428.83 | 0.8× |
| San Luis Valley Health Conejos County Hospital | La Jara, CO | $337.15 | $613 | $428.83 | 0.8× |
| Grand River Medical Center | Rifle, CO | $354 | $708 | $428.83 | 0.8× |
| Parkview Medical Center | Pueblo, CO | $375.20 | $938 | $428.83 | 0.9× |
| Vail Health Hospital | Vail, CO | $406.50 | $542 | $428.83 | 0.9× |
| Memorial Hospital of Converse County | Douglas, WY | $425.79 | $747 | $415.32 | 1.0× |
| Prowers Medical Center | Lamar, CO | $428.40 | $714 | $428.83 | 1.0× |
| Rangely District Hospital | Rangely, CO | $431.01 | $663.09 | $428.83 | 1.0× |
| Campbell County Health | Gillette, WY | $441 | $490 | $415.32 | 1.1× |
| Melissa Memorial Hospital | Holyoke, CO | $452.80 | $566 | $428.83 | 1.1× |
| Delta County Memorial Hospital | Delta, CO | $464.10 | $773.50 | $428.83 | 1.1× |
| Southwest Memorial Hospital | Cortez, CO | $471.50 | $942 | $428.83 | 1.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $474.75 | $527.50 | $428.83 | 1.1× |
| Weisbrod Memorial County Hospital | Eads, CO | $479.10 | $798.50 | $428.83 | 1.1× |
| South Lincoln Medical Center | Kemmerer, WY | $481.98 | $642.64 | $415.32 | 1.2× |
| Family Health West Hospital | Fruita, CO | $503.30 | $719 | $428.83 | 1.2× |
| Crook County Medical Services District | Sundance, WY | $509.74 | $679.65 | $415.32 | 1.2× |
| Montrose Regional Health | Montrose, CO | $530.62 | $707.50 | $428.83 | 1.2× |
| UCHealth Greeley Hospital | Greeley, CO | $542.40 | $904 | $428.83 | 1.3× |
| Star Valley Medical Center | Afton, WY | $547.40 | $782 | $415.32 | 1.3× |
| Regional West Medical Center | Scottsbluff, NE | $562.80 | $938 | $422.12 | 1.3× |
| Johnson County Healthcare Center | Buffalo, WY | $565.50 | $565.50 | $415.32 | 1.4× |
| Sublette County Health | Pinedale, WY | $575.55 | $639.50 | $415.32 | 1.4× |
| Memorial Hospital of Carbon County | Rawlins, WY | $588.75 | $785 | $415.32 | 1.4× |
| Foothills Hospital | Boulder, CO | $612.50 | $1,225 | $433.59 | 1.4× |
| Cody Regional Health | Cody, WY | $627.30 | $738 | $415.32 | 1.5× |
| Poudre Valley Hospital | Fort Collins, CO | $632.80 | $904 | $428.83 | 1.5× |
| Medical Center of the Rockies | Loveland, CO | $632.80 | $904 | $428.83 | 1.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $639.60 | $2,132 | $428.83 | 1.5× |
| Animas Surgical Hospital | Durango, CO | $650.50 | $650.50 | $428.83 | 1.5× |
| Powell Valley Healthcare | Powell, WY | $684.21 | $804.95 | $415.32 | 1.6× |
| St. Elizabeth Hospital | Fort Morgan, CO | $685.58 | $1,713.95 | $428.83 | 1.6× |
| Sheridan Memorial Hospital | Sheridan, WY | $692.80 | $866 | $415.32 | 1.7× |
| St. John's Medical Center | Jackson, WY | $699.50 | $699.50 | $415.32 | 1.7× |
| Niobrara County Hospital District | Lusk, WY | $702.40 | $878 | $415.32 | 1.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $704.70 | $1,174.50 | $408.37 | 1.7× |
| Estes Park Medical Center | Estes Park, CO | $726 | $968 | $428.83 | 1.7× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $740.50 | $1,481 | $408.37 | 1.8× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $745.20 | $1,656 | $428.83 | 1.7× |
| Longs Peak Hospital | Longmont, CO | $746.20 | $2,132 | $433.59 | 1.7× |
| UCHealth Broomfield Hospital | Broomfield, CO | $746.20 | $2,132 | $428.83 | 1.7× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $746.20 | $2,132 | $428.83 | 1.7× |
| Yuma District Hospital | Yuma, CO | $784.50 | $1,046 | $428.83 | 1.8× |
| Community Hospital Grand Junction | Grand Junction, CO | $799.96 | $1,428.50 | $428.83 | 1.9× |
| Aspen Valley Hospital | Aspen, CO | $800 | $800 | $428.83 | 1.9× |
| Ivinson Memorial Hospital | Laramie, WY | $807 | $807 | $415.32 | 1.9× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $812 | $812 | $428.83 | 1.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $840 | $2,400 | $428.83 | 2.0× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $853 | $853 | $415.32 | 2.1× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $854.25 | $1,005 | $428.83 | 2.0× |
| Haxtun Hospital District | Haxtun, CO | $855.08 | $877 | $428.83 | 2.0× |
| Gunnison Valley Hospital | Gunnison, CO | $860.20 | $1,012 | $428.83 | 2.0× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $864.10 | $977.50 | $428.83 | 2.0× |
| Southeast Colorado Hospital | Springfield, CO | $930 | $1,162 | $428.83 | 2.2× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $1,036 | $1,036 | $415.32 | 2.5× |
| Valley View Hospital | Glenwood Springs, CO | $1,038.70 | $1,222 | $428.83 | 2.4× |
| Lincoln Health Hospital | Hugo, CO | $1,101 | $1,101 | $428.83 | 2.6× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $1,114.20 | $1,238 | $428.83 | 2.6× |
| Middle Park Medical Center | Kremmling, CO | $1,200.80 | $1,501 | $428.83 | 2.8× |
| Weston County Health Services | Newcastle, WY | $1,372 | $1,372 | $415.32 | 3.3× |
| AdventHealth Porter | Denver, CO | $2,025.20 | $2,025.20 | $428.83 | 4.7× |
| AdventHealth Avista | Louisville, CO | $2,025.20 | $2,025.20 | $433.59 | 4.7× |
| AdventHealth Littleton | Littleton, CO | $2,025.20 | $2,025.20 | $428.83 | 4.7× |
| AdventHealth Parker | Parker, CO | $2,025.20 | $2,025.20 | $428.83 | 4.7× |
| AdventHealth Castle Rock | Castle Rock, CO | $2,025.20 | $2,025.20 | $428.83 | 4.7× |
| Parkland Memorial Hospital | Dallas, TX | $9,237.12 | $23,092.79 | $408.37 | 22.6× |
| North Big Horn Hospital District | Lovell, WY | — | $307.50 | $415.32 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $1,182.40 | $428.83 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $1,185.35 | $428.83 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $1,196.75 | $428.83 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $1,196.75 | $428.83 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $1,196.75 | $433.59 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.