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
$10
Average
$991
Median
$372
High
$29.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1317 hospitals; the 90th percentile is 13.6× 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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2,113 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 5 | $2.5k | $2.5k | $325 | 13% | 15 | $2.0k – $3.0k |
| 2 | UF Health Leesburg, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $408 | $358 | $176 | 49% | 14–140 | $114 – $618 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $419 | $398 | $70 | 17% | 8–80 | $283 – $474 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $397 | $377 | $66 | 17% | 8–80 | $268 – $449 |
| 5 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $672 | $620 | $289 | 47% | 4–40 | $216 – $919 |
| 6 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $1.0k | $1.0k | $565 | 56% | 4–40 | $436 – $1.6k |
| 7 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $148 | $144 | $13 | 9% | 4–40 | $122 – $156 |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $1.2k | $1.7k | $1.1k | 67% | 3–30 | $553 – $3.5k |
| 9 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $523 | $523 | — | — | 3–30 | $523 – $523 |
| 10 | Baystate Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 3 | $363 | $363 | — | — | 3–30 | $363 – $363 |
| 11 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 3 | $363 | $363 | — | — | 3–30 | $363 – $363 |
| 12 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $143 | $10 | 7% | 3–30 | $127 – $152 |
| 13 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $205 | $205 | — | — | 3–30 | $205 – $205 |
| 14 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $479 | $456 | $77 | 17% | 3–30 | $333 – $535 |
| 15 | ROBERT PACKER HOSPITAL Sayre, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $336 | $371 | $205 | 55% | 3–30 | $115 – $765 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 2 | $130 | $130 | $1 | 1% | 3–30 | $124 – $130 |
| 17 | Sarasota Memorial Hospital Sarasota, FL percent of total billed charges · outpatientfrom % of charges | 3 | $2.9k | $3.7k | $2.0k | 55% | 3–30 | $1.7k – $6.5k |
| 18 | Sarasota Memorial Hospital - Venice North Venice, FL percent of total billed charges · outpatientfrom % of charges | 3 | $2.9k | $3.7k | $2.0k | 55% | 3–30 | $1.7k – $6.5k |
| 19 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 11 | $829 | $914 | $238 | 26% | 2–20 | $650 – $1.5k |
| 20 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 2 | $815 | $815 | — | — | 2–20 | $815 – $815 |
| 21 | Carle BroMenn Medical Center Normal, IL other · outpatient | 1 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 22 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $522 | $522 | $2 | 0% | 2–20 | $520 – $525 |
| 23 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $566 | $566 | — | — | 2–20 | $566 – $566 |
| 24 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 8 | $2.0k | $2.4k | $769 | 32% | 2–20 | $1.6k – $3.9k |
| 25 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $243 | $243 | — | — | 2–20 | $243 – $243 |
← Payers reporting CPT 12004 · Snapshot 20261111T120946Z-9134e7f7