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/AX/GEN/TRK7.6-12.5CM
Long Beach, CA
See all hospitals reporting CPT 12004 →Price type
Dignity Health’s median price of $252 is 12% below the median hospital's median price ($287), higher than 43% of the 2,435 hospitals reporting CPT 12004. 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, 17 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 | Anthem medicaid|all plans fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Kaiser medicaid|< 21 fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 3 | Kaiser medicaid|> 21 fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 5 | Anthem medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 6 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 12 | Blue Cross Blue Shield medicare|trauma fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 13 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $761 | $761 | — | — | — | $761 – $761 |
| 14 | Kaiser commercial|all plans percent of total billed charges · outpatientfrom % of charges | $868 | $868 | — | — | 1–10 | $868 – $868 |
| 15 | Anthem commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Anthem commercial|all other plans case rate · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 17 | Anthem commercial|mcs case rate · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
Last updated: Feb 28, 2026
See Repair of a superficial wound, 7.6 to 12.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.