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
Int Rep Nk/Hds/Ft/Eg 2.6 to 7.5cm
Ozark, MO
See all hospitals reporting CPT 12042 →Price type
Mercy Hospital Springfield’s median price of $451 is 11% below the median hospital's median price ($507), higher than 40% 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: 14 payers, 37 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 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 2 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 3 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 4 | Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 6 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 7 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 8 | Humana hb sprg humana facility · fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 9 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 10 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 11 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $444 | $444 | — | — | — | $444 – $444 |
| 12 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $539 | $539 | — | — | — | $539 – $539 |
| 13 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | — | — | — | $546 – $546 |
| 14 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $578 | $578 | — | — | — | $578 – $578 |
| 15 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $605 | $605 | — | — | — | $605 – $605 |
| 16 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $610 | $610 | — | — | — | $610 – $610 |
| 17 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $610 | $610 | — | — | — | $610 – $610 |
| 18 | UnitedHealthcare hb sprg uhc all payer facility · other · outpatient | $899 | $899 | — | — | 1–10 | $899 – $899 |
| 19 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Aetna hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Cigna hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Humana hb sprg humana medicare 100% facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jun 4, 2026
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.