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
LAC REP SIM TRK/EXT 7.6-12.5CM - 454
Washington, DC
See all hospitals reporting CPT 12004 →Price type
Aiken Regional Medical Centers’s median price of $320 is 12% above the median hospital's median price ($287), higher than 55% of the 2,435 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, 5 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 | Molina medicaid fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 2 | WellCare medicaid fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Medcost managed_care percent of total billed charges · bothfrom % of charges | $516 | $516 | — | — | — | $516 – $516 |
| 4 | Humana managed_care percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | MultiPlan managed_care percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Jan 1, 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.