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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City 12016 $401 [source] 3 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler 12016 $406 [source] 3 years ago
Chi Health Plainview 704 N 3Rd St, Plainview 12016 $406 [source] 3 years ago
Chi Health Lakeside 17201 Wright St, Omaha 12016 $489 [source] 3 years ago
Chi Health Midlands 11111 S 84Th St, Papillion 12016 $489 [source] 3 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha 12016 $489 [source] 3 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 12016 $489 [source] 3 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln 12016 $521 [source] 3 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney 12016 $521 [source] 3 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island 12016 $521 [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.