Code: 12017

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Other Descriptions:
RSW SIMPLE FACE 20.1CM-30CM
SIM LAC FACE-EAR 20.1-30CM
Rpr fe/e/en/l/m 20.1-30.0 cm
SMP LAC.FCE/EAR 20.1-30CM
REPAIR SIM B 20.1+AC0-30.0CM PF
Rpr fe/e/en/l/m 20.1+AC0-30.0 cm
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: 12016
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Code: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
Hawaii
Hospital Address Code Price Last Updated
Hale Ho'ola Hamakua 100 Keokea Pl, Kula 12017 $260 [source] 3 years ago
Kau Hospital 1 Kamani Street, Pahala 12017 $260 [source] 3 years ago
Kohala Hospital 54 383 Hospital Road, Kapaau 12017 $287 [source] 3 years ago
Hilo Medical Center 1190 Waianuenue Ave, Hilo 12017 $399 [source] 3 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua 12017 $399 [source] 3 years ago
Molokai General Hospital 280 Homeolu Place, Kaunakakai 12017 $606 [source] 3 years ago
Maui Memorial Medical Center 221 Mahalani St, Wailuku 12017 $895 [source] 3 years ago
The Queen's Medical Center - West O'ahu 1301 Punchbowl St, Honolulu 12017 $1,465 [source] 3 years ago
The Queen's Medical Center 4800 Kawaihau Rd, Kapaa 12017 $1,465 [source] 3 years ago
North Hawaii Community Hospital 67-1125 Mamalahoa Hwy, Kamuela 12017 $1,668 [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.