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
TX S WND DEHISC; SMPL [A4]
Low
$1
Average
$898
Median
$679
High
$6.7k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
1278 hospitals; the 90th percentile is 6.3× 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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1,955 hospital rates
iThe hospitals that file a Humana 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 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $497 | $497 | — | — | 26 | $497 – $497 |
| 2 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $498 | $498 | $217 | 43% | 6–60 | $282 – $715 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $2.6k | $5.0k | $5.2k | 104% | 4–40 | $718 – $13.5k |
| 4 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 2 | $707 | $695 | $19 | 3% | 3–30 | $666 – $707 |
| 5 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $956 | $956 | — | — | 2–20 | $956 – $956 |
| 6 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $501 | $501 | $197 | 39% | 2–20 | $305 – $698 |
| 7 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $207 | $207 | $1 | 0% | 1–10 | $206 – $208 |
| 8 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $457 | $457 | — | — | 1–10 | $457 – $457 |
| 9 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $295 | $295 | — | — | 1–10 | $295 – $295 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $564 | $564 | — | — | 1–10 | $564 – $564 |
| 11 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $780 | $780 | — | — | 1–10 | $780 – $780 |
| 12 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 1 | $677 | $677 | — | — | 1–10 | $677 – $677 |
| 13 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 1 | $778 | $778 | — | — | 1–10 | $778 – $778 |
| 14 | DIGNITY HEALTH Las Vegas, NV fee schedule · outpatient | 1 | $677 | $677 | — | — | 1–10 | $677 – $677 |
| 15 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 16 | Lake Regional Health System Osage Beach, MO fee schedule · inpatient | 4 | $793 | $793 | — | — | 1–10 | $793 – $793 |
| 17 | Lake Regional Health System Osage Beach, MO fee schedule · outpatient | 4 | $793 | $793 | — | — | 1–10 | $793 – $793 |
| 18 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 19 | Northwestern Memorial Hospital Chicago, IL other · outpatient | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 20 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · outpatient | 1 | $643 | $643 | — | — | 1–10 | $643 – $643 |
| 21 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 22 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 23 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $652 | $652 | — | — | — | $652 – $652 |
| 24 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $652 | $652 | — | — | — | $652 – $652 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $566 | $566 | — | — | — | $566 – $566 |
← Payers reporting CPT 12020 · Snapshot 20261111T120946Z-9134e7f7