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 Lac Simple 12.6-20.0 CM
De Smet, SD
See all hospitals reporting CPT 12005 →Price type
Avera DeSmet’s median price of $261 is 48% below the median hospital's median price ($503), higher than 13% of the 2,325 hospitals reporting CPT 12005. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 15 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 | Medica com fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 2 | Medica ind fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 3 | Healthpartners com fee schedule · both | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Wellmark ppo fee schedule · both | $205 | $205 | — | — | — | $205 – $205 |
| 5 | Medica ind percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 6 | Medica ind percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 7 | UnitedHealthcare com fee schedule · both | $259 | $259 | — | — | — | $259 – $259 |
| 8 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
| 9 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
| 10 | Medica com percent of total billed charges · inpatientfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 11 | Medica com percent of total billed charges · outpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 12 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 13 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 14 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $339 | $339 | — | — | — | $339 – $339 |
| 15 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $339 | $339 | — | — | — | $339 – $339 |
Last updated: Apr 1, 2026
See Simple wound repair on trunk or genitals, 12.6-20 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.