Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (CPT 12053)
12053 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.
77 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 |
|---|---|---|---|---|---|
| San Luis Valley Health Conejos County Hospital | La Jara, CO | $184.80 | $336 | $428.83 | 0.4× |
| East Morgan County Hospital | Brush, CO | $225.34 | $448 | $428.83 | 0.5× |
| Denver Health Medical Center | Denver, CO | $227.40 | $649.69 | $428.83 | 0.5× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $240.13 | $448 | $415.32 | 0.6× |
| Parkland Memorial Hospital | Dallas, TX | $241.60 | $604 | $408.37 | 0.6× |
| Rio Grande Hospital | Del Norte, CO | $253.98 | $338.64 | $428.83 | 0.6× |
| Washakie Medical Center | Worland, WY | $268.35 | $448 | $415.32 | 0.6× |
| Johnson County Healthcare Center | Buffalo, WY | $271.67 | $271.67 | $415.32 | 0.7× |
| Platte County Hospital | Wheatland, WY | $274.62 | $448 | $415.32 | 0.7× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $312.90 | $521.50 | $408.37 | 0.8× |
| South Lincoln Medical Center | Kemmerer, WY | $407.04 | $542.72 | $415.32 | 1.0× |
| Parkview Medical Center | Pueblo, CO | $428.40 | $1,071 | $428.83 | 1.0× |
| Vail Health Hospital | Vail, CO | $429.75 | $573 | $428.83 | 1.0× |
| Campbell County Health | Gillette, WY | $441 | $490 | $415.32 | 1.1× |
| Prowers Medical Center | Lamar, CO | $460.80 | $768 | $428.83 | 1.1× |
| Southwest Memorial Hospital | Cortez, CO | $463 | $925 | $428.83 | 1.1× |
| Delta County Memorial Hospital | Delta, CO | $464.10 | $773.50 | $428.83 | 1.1× |
| Rangely District Hospital | Rangely, CO | $473.96 | $729.17 | $428.83 | 1.1× |
| Star Valley Medical Center | Afton, WY | $486.15 | $694.50 | $415.32 | 1.2× |
| Crook County Medical Services District | Sundance, WY | $500.25 | $667 | $415.32 | 1.2× |
| Memorial Hospital of Converse County | Douglas, WY | $514.14 | $902 | $415.32 | 1.2× |
| Family Health West Hospital | Fruita, CO | $516.60 | $738 | $428.83 | 1.2× |
| St. Elizabeth Hospital | Fort Morgan, CO | $520.21 | $1,300.51 | $428.83 | 1.2× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $530.55 | $589.50 | $428.83 | 1.2× |
| Montrose Regional Health | Montrose, CO | $553.12 | $737.50 | $428.83 | 1.3× |
| UCHealth Greeley Hospital | Greeley, CO | $569.40 | $949 | $428.83 | 1.3× |
| Weisbrod Memorial County Hospital | Eads, CO | $589.50 | $982.50 | $428.83 | 1.4× |
| Grand River Medical Center | Rifle, CO | $628.50 | $1,257 | $428.83 | 1.5× |
| Memorial Hospital of Carbon County | Rawlins, WY | $635.25 | $847 | $415.32 | 1.5× |
| Regional West Medical Center | Scottsbluff, NE | $642.60 | $1,071 | $422.12 | 1.5× |
| Poudre Valley Hospital | Fort Collins, CO | $664.30 | $949 | $428.83 | 1.5× |
| Medical Center of the Rockies | Loveland, CO | $664.30 | $949 | $428.83 | 1.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $671.70 | $2,239 | $428.83 | 1.6× |
| Aspen Valley Hospital | Aspen, CO | $672.50 | $672.50 | $428.83 | 1.6× |
| Melissa Memorial Hospital | Holyoke, CO | $674 | $842.50 | $428.83 | 1.6× |
| Sublette County Health | Pinedale, WY | $682.65 | $758.50 | $415.32 | 1.6× |
| Animas Surgical Hospital | Durango, CO | $723 | $723 | $428.83 | 1.7× |
| Cody Regional Health | Cody, WY | $727.60 | $856 | $415.32 | 1.8× |
| Estes Park Medical Center | Estes Park, CO | $729.75 | $973 | $428.83 | 1.7× |
| Niobrara County Hospital District | Lusk, WY | $743.20 | $929 | $415.32 | 1.8× |
| Longs Peak Hospital | Longmont, CO | $783.65 | $2,239 | $433.59 | 1.8× |
| UCHealth Broomfield Hospital | Broomfield, CO | $783.65 | $2,239 | $428.83 | 1.8× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $783.65 | $2,239 | $428.83 | 1.8× |
| St. John's Medical Center | Jackson, WY | $788.50 | $788.50 | $415.32 | 1.9× |
| Ivinson Memorial Hospital | Laramie, WY | $797 | $797 | $415.32 | 1.9× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $802.35 | $1,783 | $428.83 | 1.9× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $807.50 | $1,615 | $408.37 | 2.0× |
| Sheridan Memorial Hospital | Sheridan, WY | $810.40 | $1,013 | $415.32 | 2.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $813.72 | $1,356.20 | $408.37 | 2.0× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $893 | $893 | $428.83 | 2.1× |
| Powell Valley Healthcare | Powell, WY | $903.51 | $1,062.95 | $415.32 | 2.2× |
| UCHealth University of Colorado Hospital | Aurora, CO | $905.45 | $2,587 | $428.83 | 2.1× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $911 | $911 | $415.32 | 2.2× |
| Yuma District Hospital | Yuma, CO | $916.50 | $1,222 | $428.83 | 2.1× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $928.60 | $1,042 | $428.83 | 2.2× |
| Gunnison Valley Hospital | Gunnison, CO | $953.70 | $1,122 | $428.83 | 2.2× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $983.45 | $1,157 | $428.83 | 2.3× |
| Southeast Colorado Hospital | Springfield, CO | $1,022 | $1,278 | $428.83 | 2.4× |
| Lincoln Health Hospital | Hugo, CO | $1,101 | $1,101 | $428.83 | 2.6× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $1,112 | $1,112 | $415.32 | 2.7× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $1,201.50 | $1,335 | $428.83 | 2.8× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $1,239.20 | $1,549 | $428.83 | 2.9× |
| Foothills Hospital | Boulder, CO | $1,276 | $2,552 | $433.59 | 2.9× |
| Middle Park Medical Center | Kremmling, CO | $1,345.79 | $1,682.23 | $428.83 | 3.1× |
| Community Hospital Grand Junction | Grand Junction, CO | $1,414.56 | $2,526 | $428.83 | 3.3× |
| AdventHealth Porter | Denver, CO | $2,104.12 | $2,104.12 | $428.83 | 4.9× |
| AdventHealth Avista | Louisville, CO | $2,104.12 | $2,104.12 | $433.59 | 4.9× |
| AdventHealth Littleton | Littleton, CO | $2,104.12 | $2,104.12 | $428.83 | 4.9× |
| AdventHealth Parker | Parker, CO | $2,104.12 | $2,104.12 | $428.83 | 4.9× |
| AdventHealth Castle Rock | Castle Rock, CO | $2,104.12 | $2,104.12 | $428.83 | 4.9× |
| Valley View Hospital | Glenwood Springs, CO | $7,402.94 | $8,709.34 | $428.83 | 17.3× |
| 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.