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
RPR S/N/AX/GEN/TRK7.6-12.5CM
Mesa, AZ
See all hospitals reporting CPT 12004 →Price type
Agh Mesa Llc’s median price of $217 is 25% below the median hospital's median price ($290), higher than 29% of the 2,394 hospitals reporting CPT 12004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 3 | WellCare medicare|all plans fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $343 | $343 | — | — | — | $343 – $343 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | UnitedHealthcare commercial|options fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Aetna commercial|all other plans case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Aetna commercial|ppo case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Feb 28, 2026
See Repair of a superficial wound, 7.6 to 12.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.