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
$1
Average
$461
Median
$210
High
$11.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
740 hospitals; the 90th percentile is 18.3× 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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1,079 hospital rates
iThe hospitals that file a Molina 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 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $246 | $268 | $114 | 43% | 3–30 | $135 – $406 |
| 2 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $301 | $301 | — | — | 2–20 | $301 – $301 |
| 3 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $378 | $378 | — | — | 2–20 | $378 – $378 |
| 4 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $481 | $481 | — | — | 2–20 | $481 – $481 |
| 5 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL fee schedule · outpatient | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 6 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 7 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | $19 | 7% | 2–20 | $255 – $293 |
| 8 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 9 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 10 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 11 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 12 | Carlsbad Medical Center LLC Carlsbad, NM facility · other · outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 13 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 14 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $158 | $158 | — | — | 1–10 | $158 – $158 |
| 15 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $213 | $213 | — | — | 1–10 | $213 – $213 |
| 16 | Kirby Medical Center Monticello, IL facility · other · outpatient | 1 | $322 | $322 | — | — | 1–10 | $322 – $322 |
| 17 | Las Cruces Medical Center LLC Las Cruces, NM facility · other · outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 18 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $384 | $384 | — | — | 1–10 | $384 – $384 |
| 19 | Pana Community Hospital Association Pana, IL professional · other · outpatient | 1 | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 20 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $134 | $159 | $70 | 44% | 1–10 | $89 – $238 |
| 21 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 22 | Public Hospital District No 4 King County WA Snoqualmie, WA fee schedule · both | 3 | $184 | $203 | $98 | 48% | 1–10 | $86 – $359 |
| 23 | River Oaks Hospital LLC Flowood, MS facility · other · outpatient | 2 | $158 | $158 | $5 | 3% | 1–10 | $153 – $164 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $389 | $389 | — | — | 1–10 | $389 – $389 |
| 25 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $85 | $85 | $42 | 49% | 1–10 | $43 – $127 |
← Payers reporting CPT 12004 · Snapshot 20261111T120946Z-9134e7f7