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 SIM REP S/N/A/G/T/E 12.6-20.0C
Quitman, MS
See all hospitals reporting CPT 12005 →Price type
Rush Medical Foundation’s median price of $219 is 56% below the median hospital's median price ($495), higher than 11% of the 2,361 hospitals reporting CPT 12005. 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, 24 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 | $79 | $79 | $8 | 10% | — | $71 – $86 |
| 2 | Cigna Healthspring all payor fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Optum all payor fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | WellCare all payor fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Ambetter all payor fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 6 | Molina all payor fee schedule · outpatient | $87 | $153 | $101 | 66% | — | $77 – $295 |
| 7 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 8 | Aetna all payor fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 9 | UnitedHealthcare all payor fee schedule · outpatient | $247 | $193 | $76 | 39% | — | $86 – $247 |
| 10 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 11 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 12 | Cigna Healthspring all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 13 | Humana all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 14 | Optum all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 15 | UnitedHealthcare all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 16 | Ambetter all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 17 | Molina all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 18 | WellCare all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 19 | MultiPlan all payor fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 20 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 21 | Cigna all payor fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 22 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 23 | Bcbs Ms all payor other · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 24 | Bcbs Ms all payor fee schedule · outpatient | $302 | $401 | $255 | 64% | — | $150 – $750 |
Last updated: Apr 1, 2026
See Simple wound repair on trunk or genitals, 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.