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
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM
Flushing, NY
See all hospitals reporting CPT 12042 →Price type
NewYork-Presbyterian Queens’s median price of $913 is 80% above the median hospital's median price ($507), higher than 78% 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: 9 payers, 18 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 | Anthem medicare advantage fee schedule · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 2 | Cigna medicare advantage fee schedule · outpatient | $473 | $473 | — | — | — | $473 – $473 |
| 3 | Aetna medicare advantage fee schedule · outpatient | $487 | $487 | — | — | — | $487 – $487 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $487 | $487 | — | — | — | $487 – $487 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 6 | Anthem medicaid fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 7 | Anthem nystateofhealth plans fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 8 | Molina medicaid/child health plus fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 9 | UnitedHealthcare medicaid fee schedule · outpatient | $910 | $910 | — | — | — | $910 – $910 |
| 10 | UnitedHealthcare child health plus fee schedule · outpatient | $950 | $950 | — | — | — | $950 – $950 |
| 11 | Anthem child health plus fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Beechstreet all commercial plans percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $52 | 3% | — | $1.5k – $1.6k |
| 15 | UnitedHealthcare all commercial plans fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Molina all nys essential plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Anthem all nys essential plans fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | UnitedHealthcare all nys essential plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Mar 31, 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.