Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC REPAIR SUPERFICIAL, WOUND BODY 7.6-12.5 CM
Low
$0
Average
$569
Median
$249
High
$17.7k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 474 hospitals; the 90th percentile is 9.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $157 | $214 | $119 | 56% | 33–330 | $70 – $492 |
| 2 | Foley Hospital Company LLC Foley, AL | $214 | $229 | $44 | 19% | 23 | $190 – $308 |
| 3 | Fairview Health Services Wyoming, MN | $135 | $137 | $49 | 36% | 22–220 | $87 – $258 |
| 4 | Fairview Health Services Burnsville, MN | $134 | $149 | $39 | 26% | 18–180 | $105 – $223 |
| 5 | Samaritan Medical Center Watertown, NY | $128 | $147 | $126 | 86% | 16–160 | $54 – $468 |
| 6 | HealthEast St John's Hospital Maplewood, MN | $119 | $241 | $149 | 62% | 15–150 | $105 – $462 |
| 7 | Robert Packer Hospital Sayre, PA | $218 | $457 | $412 | 90% | 15–150 | $218 – $1.7k |
| 8 | USA Health University Hospital Mobile, AL | $97 | $97 | $42 | 43% | 12–21 | $56 – $139 |
| 9 | Fairview Health Services Minneapolis, MN | $120 | $175 | $98 | 56% | 12–120 | $92 – $316 |
| 10 | HealthEast Woodwinds Hospital Woodbury, MN | $129 | $221 | $169 | 77% | 12–120 | $92 – $557 |
Ask Claude or any MCP client for CPT 12004 pricing at a specific hospital — see how to connect.