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
SREP S/N/A/G/TR/E; 12.6-20.0CM
Hialeah, FL
See all hospitals reporting CPT 12005 →Price type
Hsa Pgh Llc’s median price of $661 is 31% above the median hospital's median price ($504), higher than 66% of the 2,316 hospitals reporting CPT 12005. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 40 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $146 | $146 | $78 | 53% | 1–10 | $68 – $224 |
| 2 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 4 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 5 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 6 | Molina molina managed medicaid facility · other · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 7 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
| 8 | Humana humana commercial hmo facility · other · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 9 | Humana humana commercial ppo facility · other · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 10 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 11 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 12 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 13 | Magellan magellan behavioral health facility · per diem · outpatient | $465 | $465 | — | — | — | $465 – $465 |
| 14 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $503 | $503 | — | — | — | $503 – $503 |
| 15 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $503 | $503 | — | — | — | $503 – $503 |
| 16 | Aetna aetna non-gatekeeper facility · case rate · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 17 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 18 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
| 19 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
| 20 | Humana humana commercial hmo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | UnitedHealthcare united healthcare of florida exchange facility · case rate · outpatient | $1.1k | $1.1k | $794 | 73% | — | $288 – $1.9k |
| 22 | Humana humana commercial ppo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | UnitedHealthcare united healthcare of florida all payer facility · case rate · outpatient | $1.6k | $1.6k | $1.2k | 73% | — | $436 – $2.8k |
| 24 | UnitedHealthcare united healthcare of florida hmo facility · case rate · outpatient | $1.6k | $1.6k | $1.2k | 73% | — | $436 – $2.8k |
| 25 | UnitedHealthcare united healthcare of florida ppo facility · case rate · outpatient | $1.7k | $1.7k | $1.1k | 68% | — | $548 – $2.8k |
Last updated: Sep 1, 2026
See Simple wound repair on trunk or genitals, 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.