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
RPR S/N/A/GEN/TRK12.6-20.0CM
Carmichael, CA
See all hospitals reporting CPT 12005 →Price type
Dignity Health’s median price of $603 is 20% above the median hospital's median price ($503), higher than 62% of the 2,330 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: 7 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $278 | $278 | — | — | — | $278 – $278 |
| 5 | Anthem medicare|all other plans fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 7 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 8 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 9 | Humana commercial|all plans fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 11 | Kaiser medicare|all plans case rate · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 12 | Molina medicare|all plans fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 14 | Anthem medicare|imperial fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 15 | UnitedHealthcare commercial|all other plans percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 16 | Blue Cross Blue Shield commercial|aco trio case rate · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 17 | Blue Cross Blue Shield commercial|aco trio calpers case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 19 | Anthem commercial|connection epo case rate · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 20 | Aetna commercial|all other plans case rate · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 21 | Aetna commercial|hmo case rate · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 22 | Aetna commercial|ppo case rate · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 23 | Blue Cross Blue Shield commercial|ppo tandem case rate · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 24 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 25 | Blue Cross Blue Shield commercial|calpers case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
Last updated: Feb 28, 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.