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
Merced, CA
See all hospitals reporting CPT 12004 →Price type
Dignity Health’s median price of $252 is 13% below the median hospital's median price ($290), higher than 42% of the 2,402 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: 8 payers, 21 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser medicaid|< 21 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 8 | Anthem medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 9 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 11 | Kaiser medicare|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 13 | Cigna commercial|all other plans percent of total billed charges · outpatientfrom % of charges | $647 | $647 | — | — | 1–10 | $647 – $647 |
| 14 | Cigna commercial|ppo percent of total billed charges · outpatientfrom % of charges | $647 | $647 | — | — | 1–10 | $647 – $647 |
| 15 | UnitedHealthcare commercial|all other plans percent of total billed charges · outpatientfrom % of charges | $998 | $998 | — | — | 1–10 | $998 – $998 |
| 16 | Aetna commercial|all other plans case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 17 | Aetna commercial|hmo case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 18 | Aetna commercial|ppo case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 19 | Anthem commercial|exchange case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 20 | Anthem commercial|all other plans case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 21 | Anthem commercial|mcs case rate · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
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.