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 LAYR CLOS WND REST BODY <2.5 CM
Quitman, MS
See all hospitals reporting CPT 12041 →Price type
Rush Medical Foundation’s median price of $219 is 55% below the median hospital's median price ($486), higher than 8% of the 2,473 hospitals reporting CPT 12041. 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 | $118 | $118 | $12 | 10% | — | $106 – $131 |
| 2 | Cigna Healthspring all payor fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 3 | Optum all payor fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 4 | WellCare all payor fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 5 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $164 | $164 | $12 | 7% | — | $153 – $176 |
| 6 | Molina all payor fee schedule · outpatient | $132 | $182 | $81 | 44% | — | $118 – $295 |
| 7 | Ambetter all payor fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 8 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $196 | $196 | $14 | 7% | — | $182 – $209 |
| 9 | Cigna Healthspring all payor other · outpatient | $204 | $204 | $14 | 7% | — | $189 – $218 |
| 10 | Humana all payor other · outpatient | $204 | $204 | $14 | 7% | — | $189 – $218 |
| 11 | Optum all payor other · outpatient | $204 | $204 | $14 | 7% | — | $189 – $218 |
| 12 | UnitedHealthcare all payor other · outpatient | $204 | $204 | $14 | 7% | — | $189 – $218 |
| 13 | Ambetter all payor other · outpatient | $206 | $206 | $14 | 7% | — | $191 – $220 |
| 14 | Molina all payor other · outpatient | $206 | $206 | $14 | 7% | — | $191 – $220 |
| 15 | WellCare all payor other · outpatient | $206 | $206 | $14 | 7% | — | $191 – $220 |
| 16 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 17 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $228 | $228 | $16 | 7% | — | $212 – $244 |
| 18 | Cigna all payor fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 19 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $263 | $263 | $19 | 7% | — | $245 – $282 |
| 20 | Aetna all payor fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 21 | MultiPlan all payor fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 22 | Bcbs Ms all payor other · outpatient | $281 | $281 | $20 | 7% | — | $261 – $301 |
| 23 | UnitedHealthcare all payor fee schedule · outpatient | $370 | $290 | $113 | 39% | — | $131 – $370 |
| 24 | Bcbs Ms all payor fee schedule · outpatient | $324 | $461 | $205 | 44% | — | $308 – $750 |
Last updated: Apr 1, 2026
See Intermediate wound repair, hands/feet/neck/genitals, up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.