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 SIM REP S/N/T/E 2.6-7.5 CM
Hanover, PA
See all hospitals reporting CPT 12002 →Price type
UPMC Hanover’s median price of $361 is 35% above the median hospital's median price ($268), higher than 65% of the 2,513 hospitals reporting CPT 12002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 4 | Humana medicare facility · fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $337 | $337 | $292 | 87% | — | $45 – $630 |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $493 | $493 | — | — | — | $493 – $493 |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $590 | $590 | — | — | — | $590 – $590 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $590 | $590 | — | — | — | $590 – $590 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $632 | $632 | — | — | — | $632 – $632 |
| 13 | Highmark commercial facility · fee schedule · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $677 | $677 | — | — | — | $677 – $677 |
| 15 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 16 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 19 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Mar 6, 2026
See Repair of simple wound, 2.6 to 7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.