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
REPAIR SIMPLE 7.6cmto 12.5cm
Low
$0
Average
$682
Median
$258
High
$17.7k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 404 hospitals; the 90th percentile is 11.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Samaritan Medical Center Watertown, NY | $135 | $135 | $26 | 20% | 10–100 | $87 – $159 |
| 2 | Fairview Health Services Edina, MN | $116 | $101 | $49 | 49% | 5–50 | $8 – $148 |
| 3 | Pella Regional Health Center Pella, IA | $75 | $204 | $182 | 89% | 4–40 | $75 – $462 |
| 4 | Fairview Health Services Burnsville, MN | $107 | $166 | $107 | 65% | 4–40 | $98 – $352 |
| 5 | HealthEast St John's Hospital Maplewood, MN | $343 | $332 | $207 | 62% | 4–40 | $105 – $539 |
| 6 | HealthEast Woodwinds Hospital Woodbury, MN | $142 | $155 | $38 | 24% | 4–40 | $118 – $219 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC | $132 | $132 | — | — | 2–20 | $132 – $132 |
| 8 | The Medical Center of Central Georgia Inc Macon, GA | $152 | $152 | — | — | 2–20 | $152 – $152 |
| 9 | Wetzel County Hospital, Inc. New Martinsville, WV | $215 | $229 | $48 | 21% | 2–20 | $117 – $359 |
| 10 | Kirby Medical Center Monticello, IL | $995 | $995 | — | — | 2–20 | $995 – $995 |
Ask Claude or any MCP client for CPT 12015 pricing at a specific hospital — see how to connect.