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
Mitchell, SD
See all hospitals reporting CPT 12005 →Price type
Avera Queen of Peace’s median price of $220 is 56% below the median hospital's median price ($495), higher than 11% of the 2,361 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, 12 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 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 5 | Wellmark ppo fee schedule · both | $205 | $205 | — | — | — | $205 – $205 |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 7 | Medica ind percent of total billed charges · outpatientfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 8 | UnitedHealthcare com fee schedule · both | $259 | $259 | — | — | — | $259 – $259 |
| 9 | Medica com percent of total billed charges · inpatientfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 10 | Medica com percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 11 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
| 12 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
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.