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:
Code: 12001
PRO-SIMPLE REPAIR SCALP
Code: 12002
HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM
Code: 12005
HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM
Code: 12006
HC SMPL RPR SUPFC S/N/AX/G/T 20.1CM-30.0CM
Code: 12007
HC SMPL RPR SUPFC S/N/AX/G/T > 30.0CM
Alabama
Hospital Address Code Price Last Updated
Bibb Medical Center 208 Pierson Ave, Centreville 12004 $209 [source] 3 years ago
Brookwood Baptist Medical Center 2010 Brookwood Medical Ctr Dr, Birmingham 12004 $209 [source] 3 years ago
Monroe County Hospital 2016 S Alabama Ave, Monroeville 12004 $231 [source] 3 years ago
Baptist East 400 Taylor Rd, Montgomery 12004 $353 [source] 3 years ago
Baptist South 2105 E South Blvd, Montgomery 12004 $353 [source] 3 years ago
Prattville Baptist 124 S Memorial Dr, Prattville 12004 $353 [source] 3 years ago
Choctaw General Hospital 401 Vanity Fair Lane, Butler 12004 $376 [source] 3 years ago
Andalusia Health 849 South Tree Notch Street, Andalusia 12004 $464 [source] 3 years ago
Washington County Hospital 14600 St Stephens Ave, Chatom 12004 $507 [source] 3 years ago
Mizell Memorial Hospital, Inc. 802 N Main St, Opp 12004 $555 [source] 3 years ago
Children's Of Alabama 1600 7Th Ave S, Birmingham 12004 $752 [source] 4 years ago
Vaughan Regional Medical Center 1015 Medical Center Parkway, Waterbury 12004 $1,989 [source] 3 years ago
Princeton Baptist Medical Center 701 Princeton Ave Sw, Birmingham 12004 $4,418 [source] 3 years ago
Brookwood Baptist Medical Center 2010 Brookwood Medical Center Dr., Birmingham 12004 $4,502 [source] 3 years ago
Citizens Baptist Medical Center 604 Stone Avenue, Talladega 12004 $12,593 [source] 3 years ago

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 ยง180.