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
INTMD RPR S/A/T/EXT 12.6-20
Los Angeles, CA
See all hospitals reporting CPT 12035 →Price type
Dignity Community Care’s median price of $508 is 13% below the median hospital's median price ($586), higher than 42% of the 2,339 hospitals reporting CPT 12035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 7 | Anthem medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 8 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 9 | Molina medicare|all plans fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 11 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | Anthem commercial|exchange case rate · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 14 | Anthem commercial|all other plans case rate · outpatient | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 15 | Anthem commercial|mcs case rate · outpatient | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
Last updated: Feb 28, 2026
See Intermediate wound repair on scalp, trunk or limbs, 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.