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
Nebraska
Hospital Address Code Price Last Updated
Chi Health Schuyler 1721 Colfax St, Schuyler 12017 $422 [source] 3 years ago
Chi Health Plainview 704 N 3Rd St, Plainview 12017 $422 [source] 3 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City 12017 $422 [source] 3 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island 12017 $523 [source] 3 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln 12017 $544 [source] 3 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney 12017 $544 [source] 3 years ago
Chi Health Lakeside 17201 Wright St, Omaha 12017 $844 [source] 3 years ago
Chi Health Midlands 11111 S 84Th St, Papillion 12017 $844 [source] 3 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha 12017 $844 [source] 3 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 12017 $844 [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.