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
Idaho
Hospital Address Code Price Last Updated
Boundary Community Hospital 6640 Kaniksu St, Bonners Ferry 12011 $79 [source] 3 years ago
Shoshone Medical Center 25 Jacobs Gulch Rd, Kellogg 12011 $106 [source] 3 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint 12011 $143 [source] 3 years ago
Lost Rivers Medical Center 551 Highland Dr, Arco 12011 $180 [source] 3 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding 12011 $200 [source] 3 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs 12011 $228 [source] 3 years ago
Power County Hospital 510 Roosevelt St, American Falls 12011 $273 [source] 3 years ago
St. Joseph Regional Medical Center 415 6Th St, Lewiston 12011 $287 [source] 3 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier 12011 $300 [source] 3 years ago
West Valley Medical Center 3720 S Indiana Ave, Caldwell 12011 $366 [source] 3 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon 12011 $404 [source] 3 years ago
Minidoka Medical Center 1308 8Th St, Suite 1, Rupert 12011 $447 [source] 3 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 12011 $589 [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.