Repair of a superficial wound, 7.6 to 12.5 cm at Sanford Wheaton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ED 12004 RPR SUPRFCL WND 7.6-12.5CM

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $484 is 69% above the median hospital's median price ($287), higher than 73% of the 2,435 hospitals reporting CPT 12004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12004 at Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
2	Ucare medicaid managed care case rate · outpatient	$209	$209	—	—	—	$209 – $209
3	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
4	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$307	$307	—	—	—	$307 – $307
5	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$310	$310	—	—	—	$310 – $310
6	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$310	$310	—	—	—	$310 – $310
7	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$310	$310	—	—	—	$310 – $310
8	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$391	$391	—	—	—	$391 – $391
9	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
10	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
11	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$474	$474	—	—	—	$474 – $474
12	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$474	$474	—	—	—	$474 – $474
13	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
15	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$499	$499	—	—	—	$499 – $499
16	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$499	$499	—	—	—	$499 – $499
17	Medica choice percent of total billed charges · outpatientfrom % of charges	$499	$499	—	—	—	$499 – $499
18	Medica choice percent of total billed charges · inpatientfrom % of charges	$502	$502	—	—	—	$502 – $502
19	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$511	$511	—	—	—	$511 – $511
20	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$511	$511	—	—	—	$511 – $511
21	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$526	$526	—	—	—	$526 – $526
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$528	$528	—	—	—	$528 – $528
23	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$528	$528	—	—	—	$528 – $528
24	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$528	$528	—	—	—	$528 – $528
25	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$528	$528	—	—	—	$528 – $528

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

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