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
ED 12042 LYR CLSR WND 2.6-7.5CM NHF
Wheaton, MN
See all hospitals reporting CPT 12042 →Price type
Sanford Wheaton’s median price of $762 is 50% above the median hospital's median price ($508), higher than 71% of the 2,432 hospitals reporting CPT 12042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $216 | $216 | — | — | — | $216 – $216 |
| 2 | Ucare medicaid managed care case rate · outpatient | $420 | $420 | — | — | — | $420 – $420 |
| 3 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 4 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $484 | $484 | — | — | — | $484 – $484 |
| 5 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $488 | $488 | — | — | — | $488 – $488 |
| 6 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $488 | $488 | — | — | — | $488 – $488 |
| 7 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $488 | $488 | — | — | — | $488 – $488 |
| 8 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $615 | $615 | — | — | — | $615 – $615 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $706 | $706 | — | — | — | $706 – $706 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $706 | $706 | — | — | — | $706 – $706 |
| 11 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $746 | $746 | — | — | — | $746 – $746 |
| 12 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $746 | $746 | — | — | — | $746 – $746 |
| 13 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $777 | $777 | — | — | — | $777 – $777 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $777 | $777 | — | — | — | $777 – $777 |
| 15 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $785 | $785 | — | — | — | $785 – $785 |
| 16 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $785 | $785 | — | — | — | $785 – $785 |
| 17 | Medica choice percent of total billed charges · outpatientfrom % of charges | $786 | $786 | — | — | — | $786 – $786 |
| 18 | Medica choice percent of total billed charges · inpatientfrom % of charges | $790 | $790 | — | — | — | $790 – $790 |
| 19 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $805 | $805 | — | — | — | $805 – $805 |
| 20 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $805 | $805 | — | — | — | $805 – $805 |
| 21 | Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges | $827 | $827 | — | — | — | $827 – $827 |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 25 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
Last updated: Mar 4, 2026
See Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.