Repair of a superficial wound, 7.6 to 12.5 cm at Avera Gregory Hospital

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repair Lac Simple 7.6-12.5 CM

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $416 is 45% above the median hospital's median price ($287), higher than 67% of the 2,435 hospitals reporting CPT 12004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12004 at Avera Gregory Hospital

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	$146	$146	—	—	—	$146 – $146
2	Medica ind fee schedule · both	$146	$146	—	—	—	$146 – $146
3	Healthpartners com fee schedule · both	$157	$157	—	—	—	$157 – $157
4	Wellmark ppo fee schedule · both	$159	$159	—	—	—	$159 – $159
5	UnitedHealthcare com fee schedule · both	$200	$200	—	—	—	$200 – $200
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
8	Medica com percent of total billed charges · inpatientfrom % of charges	$411	$411	—	—	—	$411 – $411
9	Medica com percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
10	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$455	$455	—	—	—	$455 – $455
11	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$455	$455	—	—	—	$455 – $455
12	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$469	$469	—	—	—	$469 – $469
13	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$469	$469	—	—	—	$469 – $469
14	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$506	$506	—	—	—	$506 – $506
15	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$506	$506	—	—	—	$506 – $506

Last updated: Apr 1, 2026

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