Code: 12004

Description:

HC SMPL RPR SUPFC S/N/AX/G/T 7.6CM-12.5CM

Other Descriptions:

SIM LAC SCLP-BDY 7.6-12.5CM

RSW SIMP H/N/T/E 7.6-12.5CM

PC WOUND GEN 7.6 - 12.5CM

ER REPA-SUTUR 2IN TO 3IN

REPAIR SW SCALP/NECK 7.6-

SIMP.LAC.RPR 7.6-12.5CM

SIMP RPR SCP AX GN TNK EXT PHY

REPAIR SIM A 7.6+AC0-12.5CM PF

Rpr s/n/ax/gen/trk7.6+AC0-12.5cm

Related codes:

PRO-SIMPLE REPAIR SCALP

HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM

HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM

HC SMPL RPR SUPFC S/N/AX/G/T 20.1CM-30.0CM

HC SMPL RPR SUPFC S/N/AX/G/T > 30.0CM

State	Average	# Hospitals In Database
Wyoming (WY)	$70	2
New Jersey (NJ)	$173	2
New Mexico (NM)	$174	2
Colorado (CO)	$174	1
West Virginia (WV)	$222	4
Rhode Island (RI)	$249	4
District of Columbia (DC)	$278	2
Maine (ME)	$311	8
Idaho (ID)	$317	12
Maryland (MD)	$331	1
Iowa (IA)	$372	3
Pennsylvania (PA)	$381	4
Missouri (MO)	$385	1
Nebraska (NE)	$396	10
Kentucky (KY)	$397	12
New York (NY)	$400	4
South Dakota (SD)	$406	3
North Carolina (NC)	$413	24
Vermont (VT)	$440	4
Georgia (GA)	$465	9
North Dakota (ND)	$465	6
New Hampshire (NH)	$468	2
Utah (UT)	$473	3
Mississippi (MS)	$491	6
Arkansas (AR)	$495	1
Oklahoma (OK)	$534	6
Virginia (VA)	$588	4
Wisconsin (WI)	$609	22
Delaware (DE)	$617	1
Connecticut (CT)	$639	11
Ohio (OH)	$651	10
Washington (WA)	$677	5
Minnesota (MN)	$678	29
Indiana (IN)	$1,079	21
Nevada (NV)	$1,096	14
Massachusetts (MA)	$1,231	17
Kansas (KS)	$1,265	8
Tennessee (TN)	$1,276	17
Oregon (OR)	$1,391	3
Florida (FL)	$1,854	60
Alabama (AL)	$1,858	15
California (CA)	$2,065	82
Michigan (MI)	$2,073	149
Texas (TX)	$2,455	50
South Carolina (SC)	$3,864	6
Hawaii (HI)	$5,238	11
Arizona (AZ)	$5,912	8

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.