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
PR CLOSURE SUPERF WND DEHIS W PACKING
Meridian, MS
See all hospitals reporting CPT 12021 →Price type
Rush Medical Foundation’s median price of $144 is 71% below the median hospital's median price ($503), higher than 5% of the 1,979 hospitals reporting CPT 12021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 11 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 | Humana all payor fee schedule · outpatient | $114 | $114 | $11 | 10% | — | $103 – $125 |
| 2 | Molina all payor fee schedule · outpatient | $120 | $120 | $7 | 6% | — | $113 – $127 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Optum all payor fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | WellCare all payor fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Ambetter all payor fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 7 | Cigna all payor fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | Bcbs Ms all payor fee schedule · outpatient | $212 | $212 | $7 | 3% | — | $205 – $218 |
| 9 | Aetna all payor fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 10 | MultiPlan all payor fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $348 | $274 | $105 | 38% | — | $125 – $348 |
Last updated: Apr 1, 2026
See Repair of split wound pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.