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/trnk 2.5cm/<
Montgomery, AL
See all hospitals reporting CPT 12001 →Price type
Jackson Hospital’s median price of $173 is 33% below the median hospital's median price ($259), higher than 16% of the 2,546 hospitals reporting CPT 12001. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 26 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna 510113 fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 2 | Aetna 510113 fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 3 | Humana 510103 fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 4 | Humana 510103 fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 5 | Humana 510104 fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 6 | Humana 510104 fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 7 | Humana 510112 fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 8 | Humana 510112 fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 9 | WellCare 510108 fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 10 | WellCare 510108 fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 11 | UnitedHealthcare 310300 fee schedule · inpatient | $211 | $211 | — | — | — | $211 – $211 |
| 12 | UnitedHealthcare 310300 fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 13 | Bcbs Al 100100 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
| 14 | Bcbs Al 100100 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 15 | Bcbs Al 100109 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
| 16 | Bcbs Al 100109 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 17 | Blue Cross Blue Shield 100101 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
| 18 | Blue Cross Blue Shield 100101 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 19 | Blue Cross Blue Shield 100102 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
| 20 | Blue Cross Blue Shield 100102 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 21 | Blue Cross Blue Shield 100104 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
| 22 | Blue Cross Blue Shield 100104 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 23 | Blue Cross Blue Shield 100105 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
| 24 | Blue Cross Blue Shield 100105 fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 25 | Blue Cross Blue Shield 100108 fee schedule · inpatient | $272 | $272 | — | — | — | $272 – $272 |
Last updated: Jun 23, 2026
See Simple repair of shallow wound up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.