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
SUT SMPL S/N/A/G/TR/EXT 12.6-20CM
Clovis, CA
See all hospitals reporting CPT 12005 →Price type
Clovis Community Medical Center’s median price of $523 is 4% above the median hospital's median price ($503), higher than 54% 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: 10 payers, 28 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 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · inpatient | $102 | $80 | $32 | 40% | — | $35 – $102 |
| 2 | Molina managed medi-cal facility · fee schedule · inpatient | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Blue Cross Blue Shield epn facility · fee schedule · inpatient | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Aetna medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 5 | Aetna medicare hmo for chp facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 6 | Aetna ppo facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 7 | Blue Cross Blue Shield medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 8 | Cigna access (pffs) facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 9 | Cigna healthspring facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 10 | Humana medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 11 | Kaiser commercial facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 12 | Kaiser senior advantage medicare facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 13 | WellCare medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 14 | UnitedHealthcare medicare advantage facility · case rate · inpatient | $531 | $531 | — | — | — | $531 – $531 |
| 15 | Aetna medicare hmo for non-chp facility · case rate · inpatient | $549 | $549 | — | — | — | $549 – $549 |
| 16 | UnitedHealthcare hmo facility · case rate · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare ppo facility · case rate · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Humana choice care ppo facility · fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | MultiPlan ppo facility · fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Phcs commercial facility · fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Blue Cross Blue Shield exchange hmo facility · case rate · inpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 22 | Blue Cross Blue Shield hmopos facility · case rate · inpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | Aetna hmoposppo facility · case rate · inpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 24 | Aetna qualified health plan facility · case rate · inpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 25 | Cigna hmo facility · case rate · inpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
Last updated: Sep 11, 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.