Payer comparison · HCPCS 12011 · WETUMPKA, AL

12011 — Pr Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm

What each payer pays ELMORE COMMUNITY HOSPITAL (CCN 010097) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$101 All-payer median here

$217 Cash / self-pay here

8 payer/plan-name variants

← This hospital National rates for 12011 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

Palmetto GBA	$422	318.3%	2
Aetna	$422	318.3%	2
Medicaid Alabama	$422	318.3%	2
SIMPRA ADVANTAGE INC. DOS AFTER 12/31/2022	$102	1.0%	2
Humana	$100	-1.0%	2
UnitedHealthcare	$100	-1.0%	2
VA COMMUNITY CARE NETWORK REGION 1	$100	-1.0%	2
VIVA Health Plan MCR Adv	$95	-5.9%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.