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
CLOSURE SUPERF WND DEHIS W PACKING
Duluth, MN
See all hospitals reporting CPT 12021 →Price type
Essentia Health Duluth’s median price of $615 is 22% above the median hospital's median price ($503), higher than 62% of the 1,979 hospitals reporting CPT 12021. 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, 33 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 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $368 | $368 | — | — | — | $368 – $368 |
| 2 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 3 | Healthpartners medicare facility · fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 4 | Medica medicare facility · fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 5 | Ucare medicare facility · fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 7 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $443 | $443 | — | — | — | $443 – $443 |
| 8 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 9 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 10 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 11 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 12 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 13 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $500 | $500 | — | — | — | $500 – $500 |
| 14 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $502 | $502 | — | — | — | $502 – $502 |
| 15 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $502 | $502 | — | — | — | $502 – $502 |
| 16 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $615 | $615 | — | — | — | $615 – $615 |
| 17 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $627 | $627 | — | — | — | $627 – $627 |
| 18 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $632 | $632 | — | — | — | $632 – $632 |
| 19 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $647 | $647 | $32 | 5% | — | $615 – $679 |
| 20 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $667 | $667 | — | — | — | $667 – $667 |
| 21 | Sanford Health Plan commercia-ndpers facility · fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 22 | Sanford Health Plan commercial facility · fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 23 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $732 | $732 | — | — | — | $732 – $732 |
| 24 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $732 | $732 | — | — | — | $732 – $732 |
| 25 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $742 | $742 | — | — | — | $742 – $742 |
Last updated: Jan 1, 2026
See Repair of split wound pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.