Intermediate wound repair on scalp, trunk or limbs, 12.6-20 cm at Holy Name

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

REP SCALP/TRUNK/EXT 12.6-20C

Teaneck, NJ

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $361 is 39% below the median hospital's median price ($588), higher than 10% of the 2,296 hospitals reporting CPT 12035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12035 at Holy Name

Negotiated rates from the hospital’s own file: 9 payers, 20 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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
3	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
4	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
5	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$327	$327	—	—	—	$327 – $327
6	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$347	$347	—	—	—	$347 – $347
7	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
8	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
9	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
10	Cigna hmo/pos facility · fee schedule · outpatient	$385	$385	—	—	—	$385 – $385
11	Aetna medicare prime facility · fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
12	Aetna golden medicare facility · fee schedule · outpatient	$471	$471	—	—	—	$471 – $471
13	Clover clover facility · fee schedule · outpatient	$471	$471	—	—	—	$471 – $471
14	UnitedHealthcare medicare facility · fee schedule · outpatient	$471	$471	—	—	—	$471 – $471
15	WellCare medicare facility · fee schedule · outpatient	$475	$475	—	—	—	$475 – $475
16	Aetna whole health facility · fee schedule · outpatient	$498	$498	—	—	—	$498 – $498
17	Aetna worker's comp facility · case rate · outpatient	$904	$904	—	—	—	$904 – $904
18	Aetna qualified health plans facility · case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Aetna hmo/pos facility · case rate · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
20	First Health first health facility · case rate · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k

Last updated: Nov 10, 2025

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See Intermediate wound repair on scalp, trunk or limbs, 12.6-20 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.