Repair of a reopened surgical wound

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TX S WND DEHISC; SMPL [A4]

Payers reporting CPT 12020

Payer pricing summary

Low

$247

Average

$1.2k

Median

$851

High

$5.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +32 other terms	427	$615	$652	$656	101%	11–110	$1 – $8.6k
2	Aetna fee schedule · outpatient · +39 other terms	583	$754	$1.2k	$1.7k	143%	6–60	$1 – $21.3k
3	UnitedHealthcare fee schedule · outpatient · +41 other terms	637	$670	$965	$1.5k	151%	5–50	$1 – $18.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	469	$878	$1.4k	$1.8k	129%	5–50	$0 – $18.0k
5	Molina fee schedule · outpatient · +34 other terms	264	$524	$496	$393	79%	3–30	$1 – $2.4k
6	Anthem fee schedule · outpatient · +32 other terms	150	$593	$732	$1.0k	138%	2–20	$74 – $6.3k
7	Bcbs Al facility · other · outpatient · +6 other terms	3	$519	$475	$162	34%	2–20	$259 – $648
8	Cigna case rate · outpatient · +37 other terms	335	$2.9k	$4.9k	$6.7k	137%	1–10	$1 – $40.7k
9	Kaiser fee schedule · outpatient · +25 other terms	106	$811	$1.0k	$889	86%	1–10	$55 – $4.6k
10	Medicaid facility · fee schedule · outpatient · +18 other terms	44	$386	$494	$449	91%	1–10	$94 – $2.8k
11	Bcbs Id fee schedule · outpatient · +6 other terms	5	$1.3k	$1.2k	$315	27%	1–10	$831 – $1.6k
12	WellCare fee schedule · outpatient · +26 other terms	189	$729	$716	$470	66%	—	$123 – $4.3k
13	Oscar case rate · outpatient · +25 other terms	136	$2.8k	$2.5k	$1.0k	41%	—	$957 – $7.5k
14	Ambetter fee schedule · outpatient · +23 other terms	112	$1.1k	$1.0k	$596	57%	—	$67 – $2.4k
15	MultiPlan fee schedule · outpatient · +24 other terms	111	$689	$931	$586	63%	—	$127 – $7.3k
16	Aetna Better Health fee schedule · outpatient · +22 other terms	91	$274	$339	$267	79%	—	$142 – $2.2k
17	Devoted facility · fee schedule · outpatient · +19 other terms	90	$699	$743	$595	80%	—	$88 – $5.0k
18	Caresource fee schedule · outpatient · +21 other terms	77	$692	$766	$640	84%	—	$1 – $4.3k
19	Highmark facility · fee schedule · outpatient · +22 other terms	73	$853	$952	$773	81%	—	$99 – $3.8k
20	Tricare fee schedule · outpatient · +21 other terms	73	$739	$882	$951	108%	—	$174 – $5.1k
21	Optum fee schedule · outpatient · +27 other terms	71	$560	$561	$468	83%	—	$141 – $2.7k
22	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	50	$190	$442	$1.1k	238%	—	$103 – $9.6k
23	First Health fee schedule · outpatient · +23 other terms	49	$772	$1.1k	$1.7k	160%	—	$214 – $7.2k
24	Medica fee schedule · outpatient · +22 other terms	46	$479	$464	$261	56%	—	$70 – $1.6k
25	Medicare facility · fee schedule · outpatient · +20 other terms	42	$762	$1.4k	$2.9k	206%	—	$165 – $22k

Page 1 of 3 · 70 payers