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 Sc/Ax/Tr/Ext 12.6to20 Pf
Perryville, MO
See all hospitals reporting CPT 12035 →Price type
Mercy Perry’s median price of $614 is 5% above the median hospital's median price ($586), higher than 53% of the 2,339 hospitals reporting CPT 12035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 29 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | $12 | 8% | — | $140 – $164 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $25 | 8% | — | $283 – $333 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $25 | 8% | — | $283 – $333 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $25 | 8% | — | $283 – $333 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $25 | 8% | — | $283 – $333 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $25 | 8% | — | $283 – $333 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $25 | 8% | — | $283 – $333 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $314 | $314 | $25 | 8% | — | $289 – $339 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $320 | $320 | $26 | 8% | — | $294 – $346 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $320 | $320 | $26 | 8% | — | $294 – $346 |
| 11 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 12 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 13 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $367 | $367 | $30 | 8% | — | $337 – $397 |
| 14 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $425 | $425 | $34 | 8% | — | $391 – $460 |
| 15 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $480 | $480 | $39 | 8% | — | $441 – $519 |
| 17 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $481 | $481 | $39 | 8% | — | $442 – $520 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $577 | $577 | $47 | 8% | — | $531 – $624 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $628 | $628 | $51 | 8% | — | $577 – $679 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $628 | $628 | $51 | 8% | — | $577 – $679 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $664 | $664 | $54 | 8% | — | $610 – $717 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $664 | $664 | $54 | 8% | — | $610 – $717 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $669 | $669 | $54 | 8% | — | $614 – $723 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $669 | $669 | $54 | 8% | — | $614 – $723 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $709 | $709 | $57 | 8% | — | $652 – $767 |
Last updated: Mar 12, 2026
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.