Code: 12016

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Other Descriptions:
SIM LAC FACE-EAR 12.6-20CM
RSW SIMPLE FACE 12.6CM-20CM
Rpr fe/e/en/l/m 12.6-20.0 cm
SMP LAC.FCE/EAR 12.6-20CM
REPAIR SIM B 12.6+AC0-20.0CM PF
Rpr fe/e/en/l/m 12.6+AC0-20.0 cm
Srep F/e/n/l/mm; 12.6-20.0cm
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: 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 12016 $199 [source] 3 years ago
Shoshone Medical Center 25 Jacobs Gulch Rd, Kellogg 12016 $247 [source] 3 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint 12016 $333 [source] 3 years ago
West Valley Medical Center 3720 S Indiana Ave, Caldwell 12016 $342 [source] 3 years ago
Power County Hospital 510 Roosevelt St, American Falls 12016 $380 [source] 3 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier 12016 $515 [source] 3 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon 12016 $570 [source] 3 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs 12016 $610 [source] 3 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding 12016 $737 [source] 3 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 12016 $748 [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.