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
Massachusetts
Hospital Address Code Price Last Updated
Nantucket Cottage Hospital 57 Prospect St, Nantucket 12017 $280 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton 12017 $631 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem 12017 $631 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain 12017 $631 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown 12017 $1,107 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls 12017 $1,107 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston 12017 $1,568 [source] 3 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs 12017 $1,568 [source] 3 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge 12017 $1,568 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston 12017 $1,568 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich 12017 $1,568 [source] 3 years ago
Mclean Hospital 115 Mill St, Belmont 12017 $1,568 [source] 3 years ago
Massachusetts Eye And Ear 243 Charles St, Boston 12017 $1,568 [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.