REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (CPT 12054)
12054 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.
73 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 | $230.88 | $459 | $428.83 | 0.5× |
| Denver Health Medical Center | Denver, CO | $237.73 | $679.21 | $428.83 | 0.6× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $246.02 | $459 | $415.32 | 0.6× |
| Rio Grande Hospital | Del Norte, CO | $250.36 | $333.80 | $428.83 | 0.6× |
| Washakie Medical Center | Worland, WY | $274.94 | $459 | $415.32 | 0.7× |
| Platte County Hospital | Wheatland, WY | $281.37 | $459 | $415.32 | 0.7× |
| Crook County Medical Services District | Sundance, WY | $291.52 | $388.70 | $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× |
| Grand River Medical Center | Rifle, CO | $424.50 | $849 | $428.83 | 1.0× |
| Melissa Memorial Hospital | Holyoke, CO | $443.20 | $554 | $428.83 | 1.0× |
| Delta County Memorial Hospital | Delta, CO | $464.10 | $773.50 | $428.83 | 1.1× |
| Campbell County Health | Gillette, WY | $481.05 | $534.50 | $415.32 | 1.2× |
| Rangely District Hospital | Rangely, CO | $501.09 | $770.90 | $428.83 | 1.2× |
| Memorial Hospital of Converse County | Douglas, WY | $509.58 | $894 | $415.32 | 1.2× |
| Prowers Medical Center | Lamar, CO | $514.20 | $857 | $428.83 | 1.2× |
| South Lincoln Medical Center | Kemmerer, WY | $547.10 | $729.46 | $415.32 | 1.3× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $550.80 | $612 | $428.83 | 1.3× |
| Johnson County Healthcare Center | Buffalo, WY | $556 | $556 | $415.32 | 1.3× |
| Animas Surgical Hospital | Durango, CO | $576 | $576 | $428.83 | 1.3× |
| Montrose Regional Health | Montrose, CO | $582.75 | $777 | $428.83 | 1.4× |
| Star Valley Medical Center | Afton, WY | $596.05 | $851.50 | $415.32 | 1.4× |
| UCHealth Greeley Hospital | Greeley, CO | $597.60 | $996 | $428.83 | 1.4× |
| Southwest Memorial Hospital | Cortez, CO | $646.50 | $1,292.50 | $428.83 | 1.5× |
| Memorial Hospital of Carbon County | Rawlins, WY | $649.50 | $866 | $415.32 | 1.6× |
| Vail Health Hospital | Vail, CO | $663 | $884 | $428.83 | 1.5× |
| St. Elizabeth Hospital | Fort Morgan, CO | $671.45 | $1,678.62 | $428.83 | 1.6× |
| Poudre Valley Hospital | Fort Collins, CO | $697.20 | $996 | $428.83 | 1.6× |
| Medical Center of the Rockies | Loveland, CO | $697.20 | $996 | $428.83 | 1.6× |
| Estes Park Medical Center | Estes Park, CO | $750 | $1,000 | $428.83 | 1.7× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $780 | $2,600 | $428.83 | 1.8× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $815.40 | $1,812 | $428.83 | 1.9× |
| St. John's Medical Center | Jackson, WY | $826.50 | $826.50 | $415.32 | 2.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $853.43 | $1,422.38 | $408.37 | 2.1× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $854.40 | $1,068 | $428.83 | 2.0× |
| Foothills Hospital | Boulder, CO | $872.75 | $1,745.50 | $433.59 | 2.0× |
| Sheridan Memorial Hospital | Sheridan, WY | $873.60 | $1,092 | $415.32 | 2.1× |
| Sublette County Health | Pinedale, WY | $882.90 | $981 | $415.32 | 2.1× |
| Longs Peak Hospital | Longmont, CO | $910 | $2,600 | $433.59 | 2.1× |
| UCHealth Broomfield Hospital | Broomfield, CO | $910 | $2,600 | $428.83 | 2.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $910 | $2,600 | $428.83 | 2.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $925.05 | $2,643 | $428.83 | 2.2× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $930 | $930 | $415.32 | 2.2× |
| Yuma District Hospital | Yuma, CO | $966 | $1,288 | $428.83 | 2.3× |
| Niobrara County Hospital District | Lusk, WY | $994.40 | $1,243 | $415.32 | 2.4× |
| Valley View Hospital | Glenwood Springs, CO | $1,001.30 | $1,178 | $428.83 | 2.3× |
| Weisbrod Memorial County Hospital | Eads, CO | $1,007.40 | $1,679 | $428.83 | 2.3× |
| Ivinson Memorial Hospital | Laramie, WY | $1,010 | $1,010 | $415.32 | 2.4× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $1,011 | $1,011 | $428.83 | 2.4× |
| Cody Regional Health | Cody, WY | $1,014.05 | $1,193 | $415.32 | 2.4× |
| Lincoln Health Hospital | Hugo, CO | $1,101 | $1,101 | $428.83 | 2.6× |
| Southeast Colorado Hospital | Springfield, CO | $1,125 | $1,406 | $428.83 | 2.6× |
| Powell Valley Healthcare | Powell, WY | $1,158.30 | $1,362.70 | $415.32 | 2.8× |
| Aspen Valley Hospital | Aspen, CO | $1,220.50 | $1,220.50 | $428.83 | 2.8× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $1,224 | $1,224 | $415.32 | 2.9× |
| Haxtun Hospital District | Haxtun, CO | $1,226.55 | $1,258 | $428.83 | 2.9× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $1,226.70 | $1,363 | $428.83 | 2.9× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $1,227.40 | $1,444 | $428.83 | 2.9× |
| Gunnison Valley Hospital | Gunnison, CO | $1,229.10 | $1,446 | $428.83 | 2.9× |
| Middle Park Medical Center | Kremmling, CO | $1,437.04 | $1,796.29 | $428.83 | 3.4× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $1,584.80 | $1,981 | $428.83 | 3.7× |
| Community Hospital Grand Junction | Grand Junction, CO | $1,731.52 | $3,092 | $428.83 | 4.0× |
| AdventHealth Porter | Denver, CO | $2,129.30 | $2,129.30 | $428.83 | 5.0× |
| AdventHealth Avista | Louisville, CO | $2,129.30 | $2,129.30 | $433.59 | 4.9× |
| AdventHealth Littleton | Littleton, CO | $2,129.30 | $2,129.30 | $428.83 | 5.0× |
| AdventHealth Parker | Parker, CO | $2,129.30 | $2,129.30 | $428.83 | 5.0× |
| AdventHealth Castle Rock | Castle Rock, CO | $2,129.30 | $2,129.30 | $428.83 | 5.0× |
| Parkland Memorial Hospital | Dallas, TX | $2,541.24 | $6,353.09 | $408.37 | 6.2× |
| 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.