Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm at UPMC East

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INT LAC RPR 2.6-7.5CM NCK HND

Monroeville, PA

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How this price compares nationally

UPMC East’s median price of $460 is 9% below the median hospital's median price ($507), higher than 42% of the 2,461 hospitals reporting CPT 12042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12042 at UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 40 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	UnitedHealthcare unison kids facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
2	Highmark medicaid facility · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
5	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$400	$400	—	—	—	$400 – $400
6	UnitedHealthcare medicare facility · fee schedule · outpatient	$408	$408	—	—	—	$408 – $408
7	Aetna medicare facility · fee schedule · outpatient	$409	$409	$10	2%	—	$400 – $419
8	Highmark medicare facility · fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
9	Amerihealth Caritas medicare facility · fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
10	Cigna medicare facility · fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
11	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$419	$419	—	—	—	$419 – $419
12	Highmark managed care - social mission facility · fee schedule · outpatient	$460	$460	—	—	—	$460 – $460
13	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$471	$471	—	—	—	$471 – $471
14	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
15	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$501	$501	—	—	—	$501 – $501
16	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
17	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$543	$543	—	—	—	$543 – $543
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$543	$543	—	—	—	$543 – $543
19	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$546	$546	—	—	—	$546 – $546
20	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	—	—	—	$557 – $557
21	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	—	—	—	$557 – $557
22	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	—	—	—	$557 – $557
23	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	—	—	—	$557 – $557
24	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$560	$560	—	—	—	$560 – $560
25	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$571	$571	—	—	—	$571 – $571

Page 1 of 2 · 40 rates

Last updated: Mar 6, 2026

Compare to other hospitals

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.