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
Mt Shasta, CA
See all hospitals reporting CPT 12004 →Price type
Dignity Health’s median price of $254 is 11% below the median hospital's median price ($287), higher than 44% 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: 4 payers, 9 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 | $164 | $164 | — | — | — | $164 – $164 |
| 2 | Aetna commercial|all other plans percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | 1–10 | $195 – $195 |
| 3 | Aetna commercial|hmo percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | 1–10 | $195 – $195 |
| 4 | Aetna commercial|ppo percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | 1–10 | $195 – $195 |
| 5 | Anthem commercial|exchange percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 6 | Aetna medicare|all plans percent of total billed charges · outpatientfrom % of charges | $254 | $254 | — | — | 1–10 | $254 – $254 |
| 7 | Anthem medicare|all plans percent of total billed charges · outpatientfrom % of charges | $254 | $254 | — | — | 1–10 | $254 – $254 |
| 8 | Humana medicare|all plans percent of total billed charges · outpatientfrom % of charges | $254 | $254 | — | — | 1–10 | $254 – $254 |
| 9 | Kaiser medicare|all plans percent of total billed charges · outpatientfrom % of charges | $254 | $254 | — | — | 1–10 | $254 – $254 |
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.