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 RESUPERF WND BODY 7.6-12.5 CM
Low
$42
Average
$1.3k
Median
$446
High
$370.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1840 hospitals; the 90th percentile is 17.2× 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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3,324 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $566 | $731 | $383 | 52% | 8–80 | $411 – $1.5k |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $536 | $693 | $363 | 52% | 8–80 | $390 – $1.4k |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $359 | $381 | $117 | 31% | 7–70 | $148 – $503 |
| 4 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 8 | $941 | $1.1k | $406 | 37% | 4–40 | $515 – $1.8k |
| 5 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $265 | $265 | $31 | 12% | 4–40 | $235 – $296 |
| 6 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 4 | $195 | $210 | $26 | 12% | 4–40 | $195 – $254 |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $413 | $413 | $0 | 0% | 4–40 | $413 – $413 |
| 8 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $741 | $745 | $149 | 20% | 4–40 | $580 – $919 |
| 9 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 5 | $695 | $752 | $190 | 25% | 4–40 | $482 – $1.1k |
| 10 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 2 | $453 | $404 | $184 | 45% | 4–40 | $137 – $617 |
| 11 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $176 | $176 | $10 | 6% | 4–40 | $166 – $187 |
| 12 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $604 | $592 | $127 | 22% | 4–40 | $408 – $784 |
| 13 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $325 | $371 | $155 | 42% | 4–40 | $212 – $663 |
| 14 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $445 | $453 | $86 | 19% | 3–30 | $303 – $559 |
| 15 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $422 | $419 | $4 | 1% | 3–30 | $413 – $422 |
| 16 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $678 | $678 | — | — | 3–30 | $678 – $678 |
| 17 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $678 | $678 | — | — | 3–30 | $678 – $678 |
| 18 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $678 | $678 | — | — | 3–30 | $678 – $678 |
| 19 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $128 | $133 | $44 | 33% | 2–20 | $81 – $195 |
| 20 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $444 | $444 | $42 | 9% | 2–20 | $402 – $486 |
| 21 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | $2 | 2% | 2–20 | $83 – $86 |
| 22 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $127 | $127 | — | — | 2–20 | $127 – $127 |
| 23 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 2–20 | $188 – $188 |
| 24 | Harrison Community Hospital, Inc. Cadiz, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 25 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $238 | $341 | $190 | 56% | 2–20 | $218 – $671 |
← Payers reporting CPT 12004 · Snapshot 20261111T120946Z-9134e7f7