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
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren 12017 $257 [source] 3 years ago
St. John Providence 28000 Dequindre Rd, Warren 12017 $257 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield 12017 $257 [source] 3 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak 12017 $262 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester 12017 $276 [source] 3 years ago
Up Health System – Bell 901 Lakeshore Drive, Ishpeming 12017 $281 [source] 3 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens 12017 $294 [source] 3 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer 12017 $338 [source] 3 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint 12017 $350 [source] 3 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City 12017 $446 [source] 3 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City 12017 $446 [source] 3 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron 12017 $464 [source] 3 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet 12017 $634 [source] 3 years ago
Ascension Borgess - Pipp Hospital 411 Naomi St, Plainwell 12017 $1,089 [source] 3 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe 12017 $1,248 [source] 3 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing 12017 $1,376 [source] 3 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant 12017 $1,376 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak 12017 $1,649 [source] 3 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 5450 Fort St, Trenton 12017 $1,649 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn 12017 $1,649 [source] 3 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak 12017 $1,649 [source] 3 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak 12017 $1,649 [source] 3 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre, Troy 12017 $1,649 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak 12017 $1,649 [source] 3 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy 12017 $1,649 [source] 3 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington 12017 $1,649 [source] 3 years ago
Beaumont Wayne 33155 Annapolis St, Wayne 12017 $1,649 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn 12017 $1,649 [source] 3 years ago
Mclaren Oakland 50 N Perry St, Pontiac 12017 $1,687 [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 §180.