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 CLOSURE WOUND DEHIS W/PACK
Quitman, MS
See all hospitals reporting CPT 12021 →Price type
Rush Medical Foundation’s median price of $329 is 35% below the median hospital's median price ($503), higher than 17% 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, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana all payor fee schedule · outpatient | $114 | $114 | $11 | 10% | — | $103 – $125 |
| 2 | Cigna Healthspring all payor fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Optum all payor fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 4 | WellCare all payor fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Ambetter all payor fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 6 | Molina all payor fee schedule · outpatient | $127 | $178 | $83 | 47% | — | $113 – $295 |
| 7 | Cigna all payor fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 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 |
| 12 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 13 | Bcbs Ms all payor fee schedule · outpatient | $218 | $391 | $254 | 65% | — | $205 – $750 |
| 14 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $431 | $431 | — | — | — | $431 – $431 |
| 15 | Cigna Healthspring all payor other · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 16 | Humana all payor other · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 17 | Optum all payor other · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 18 | UnitedHealthcare all payor other · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 19 | Ambetter all payor other · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 20 | Molina all payor other · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 21 | WellCare all payor other · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 22 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $503 | $503 | — | — | — | $503 – $503 |
| 23 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $581 | $581 | — | — | — | $581 – $581 |
| 24 | Bcbs Ms all payor other · outpatient | $620 | $620 | — | — | — | $620 – $620 |
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.