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
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM
Hackensack, NJ
See all hospitals reporting CPT 12042 →Price type
Hmh Hospitals Corporation’s median price of $809 is 60% above the median hospital's median price ($507), higher than 73% of the 2,461 hospitals reporting CPT 12042. 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, 14 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 2 | Optum managed medicaid facility · fee schedule · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 3 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 6 | Optum medicare advantage facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 7 | WellCare managed medicaid facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 8 | WellCare medicare advantage facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 9 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Aetna asa facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 13 | Aetna hmo facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 14 | Aetna ppo facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
Last updated: Dec 31, 2025
See Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.