Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm at Avera St. Luke's

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

Original text from hospital filings

Repair Lac Interm 2.6-7.5 CM

Aberdeen, SD

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How this price compares nationally

Avera St. Luke's’s median price of $497 is 2% below the median hospital's median price ($508), higher than 47% of the 2,432 hospitals reporting CPT 12042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12042 at Avera St. Luke's

Negotiated rates from the hospital’s own file: 4 payers, 14 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	$420	$420	—	—	—	$420 – $420
2	Medica ind fee schedule · both	$420	$420	—	—	—	$420 – $420
3	Wellmark ppo fee schedule · both	$429	$429	—	—	—	$429 – $429
4	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
5	Healthpartners com fee schedule · both	$444	$444	—	—	—	$444 – $444
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$496	$496	—	—	—	$496 – $496
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$498	$498	—	—	—	$498 – $498
8	UnitedHealthcare com fee schedule · both	$550	$550	—	—	—	$550 – $550
9	Medica com percent of total billed charges · inpatientfrom % of charges	$583	$583	—	—	—	$583 – $583
10	Medica com percent of total billed charges · outpatientfrom % of charges	$589	$589	—	—	—	$589 – $589
11	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$601	$601	—	—	—	$601 – $601
12	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$601	$601	—	—	—	$601 – $601
13	Wellmark hmo outpatient	$753	$753	—	—	1–10	$753 – $753
14	Wellmark ppo case rate · outpatient	$753	$753	—	—	1–10	$753 – $753

Last updated: Apr 1, 2026

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See Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.