Code: 12054

Description:
HC LYR CLSR F/E/E/N/L/M&/MUC 7.6 CM-12.5 CM
Other Descriptions:
LCW INTER FACE 7.6CM-12.5CM
INT REP 7.6-12.5
HC LCW INTER FACE 7.6CM-12.5CM
INTERM.RPR FACE 7.6-12.5C
LAYER CLOSURE FACIAL 7.6-12.5CM PHY
REPAIR INT C 7.6+AC0-12.5CM PF
Intmd rpr face/mm 7.6+AC0-12.5cm
Repair Fac/ear 7.6-12.5cm
Repair Lay Fac/ear 7.6-12.5cm
Related codes:
Code: 12051
PRO-LYR INTER FACE<2.5
Code: 12052
HC LYR CLSR F/E/E/N/L/M&/MUC 2.6 CM-5.0 CM
Code: 12053
HC LYR CLSR F/E/E/N/L/M&/MUC 5.1 CM-7.5 CM
Code: 12055
HC LYR CLSR F/E/E/N/L/M&/MUC 12.6 CM-20.0 CM
Code: 12056
HC LYR CLSR F/E/E/N/L/M&/MUC 20.1 CM-30.0 CM
Code: 12057
HC LYR CLSR F/E/E/N/L/M&/MUC > 30.0 CM
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren 12054 $257 [source] 3 years ago
St. John Providence 28000 Dequindre Rd, Warren 12054 $257 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield 12054 $257 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester 12054 $276 [source] 3 years ago
Up Health System – Bell 901 Lakeshore Drive, Ishpeming 12054 $281 [source] 3 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak 12054 $304 [source] 3 years ago
Midmichigan Medical Center Gladwin , Gladwin 12054 $320 [source] 3 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer 12054 $338 [source] 3 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint 12054 $350 [source] 3 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey 12054 $370 [source] 3 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens 12054 $371 [source] 3 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City 12054 $427 [source] 3 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City 12054 $427 [source] 3 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron 12054 $480 [source] 3 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe 12054 $530 [source] 3 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant 12054 $899 [source] 3 years ago
Aspirus Ontonagon Hospital 601 S Seventh St, Ontonagon 12054 $909 [source] 3 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing 12054 $959 [source] 3 years ago
Ascension Borgess - Pipp Hospital 411 Naomi St, Plainwell 12054 $1,089 [source] 3 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood 12054 $1,474 [source] 3 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet 12054 $1,474 [source] 3 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River 12054 $1,474 [source] 3 years ago
Mclaren Oakland 50 N Perry St, Pontiac 12054 $1,741 [source] 3 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe 12054 $2,617 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn 12054 $3,576 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn 12054 $3,576 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, 12054 $3,576 [source] 3 years ago
William Beaumont Hospital 5450 Fort St, Trenton 12054 $3,576 [source] 3 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor 12054 $3,576 [source] 3 years ago
Beaumont Wayne 33155 Annapolis St, Wayne 12054 $3,576 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn 12054 $3,576 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy 12054 $4,535 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre, Troy 12054 $4,535 [source] 3 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak 12054 $4,535 [source] 3 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy 12054 $4,535 [source] 3 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak 12054 $4,535 [source] 3 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak 12054 $4,535 [source] 3 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak 12054 $4,535 [source] 3 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak 12054 $4,535 [source] 3 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak 12054 $4,535 [source] 3 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak 12054 $4,535 [source] 3 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak 12054 $4,535 [source] 3 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington 12054 $5,494 [source] 3 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington 12054 $5,494 [source] 3 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township 12054 $7,591 [source] 3 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit 12054 $14,505 [source] 3 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit 12054 $40,504 [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.