Repair of a superficial wound, 7.6 to 12.5 cm at Wagner Community Memorial

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

Repair Lac Simple 7.6-12.5 CM

Wagner, SD

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How this price compares nationally

Wagner Community Memorial’s median price of $422 is 45% above the median hospital's median price ($290), higher than 68% of the 2,382 hospitals reporting CPT 12004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12004 at Wagner Community Memorial

Negotiated rates from the hospital’s own file: 4 payers, 16 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	Medica com fee schedule · both	$146	$146	—	—	—	$146 – $146
2	Medica ind fee schedule · both	$146	$146	—	—	—	$146 – $146
3	Healthpartners com fee schedule · both	$157	$157	—	—	—	$157 – $157
4	Wellmark ppo fee schedule · both	$159	$159	—	—	—	$159 – $159
5	UnitedHealthcare com fee schedule · both	$200	$200	—	—	—	$200 – $200
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$347	$347	—	—	—	$347 – $347
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$355	$355	—	—	—	$355 – $355
8	Medica com percent of total billed charges · inpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
9	Medica com percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
10	Wellmark hmo outpatient	$449	$449	—	—	1–10	$449 – $449
11	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$449	$449	—	—	—	$449 – $449
12	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$449	$449	—	—	1–10	$449 – $449
13	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$456	$456	—	—	—	$456 – $456
14	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$456	$456	—	—	—	$456 – $456
15	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$507	$507	—	—	—	$507 – $507
16	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$507	$507	—	—	—	$507 – $507

Last updated: Apr 1, 2026

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