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
Florida
Hospital Address Code Price Last Updated
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando 12004 $133 [source] 3 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze 12004 $184 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay 12004 $290 [source] 3 years ago
Manatee Healthcare System 206 Second Street East, Bradenton 12004 $359 [source] 3 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton 12004 $359 [source] 3 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando 12004 $400 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills 12004 $400 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares 12004 $400 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala 12004 $400 [source] 3 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee 12004 $400 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City 12004 $400 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa 12004 $400 [source] 3 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka 12004 $400 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills 12004 $400 [source] 3 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando 12004 $400 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula 12004 $400 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland 12004 $400 [source] 3 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park 12004 $400 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City 12004 $400 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa 12004 $400 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs 12004 $400 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach 12004 $400 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring 12004 $400 [source] 3 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales 12004 $400 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa 12004 $400 [source] 3 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa 12004 $400 [source] 3 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach 12004 $420 [source] 3 years ago
Ascension St. Vincent's Clay County 1670 St Vincents Way, Middleburg 12004 $574 [source] 3 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale 12004 $713 [source] 3 years ago
St Vincents Medical Center Riverside 1 Shircliff Way, Jacksonville 12004 $932 [source] 3 years ago
Ascension St. Vincent's Southside 4201 Belfort Rd, Jacksonville 12004 $932 [source] 3 years ago
Bay Medical Center Sacred Heart Health System 615 N Bonita Ave, Panama City 12004 $1,353 [source] 3 years ago
West Boca Medical Center 21644 State Rd. 7, Boca Raton 12004 $5,242 [source] 3 years ago
Coral Gables Hospital 3100 Douglas Rd., Miami 12004 $6,455 [source] 3 years ago
Hialeah Hospital 651 East 25Th St., Hialeah 12004 $8,452 [source] 3 years ago
North Shore Medical Center 1100 Northwest 95Th St., Miami 12004 $8,937 [source] 3 years ago
Good Samaritan Medical Center 1309 North Flagler Dr., West Palm Beach 12004 $9,095 [source] 3 years ago
Palm Beach Gardens Medical Center 3360 Burns Rd., West Palm Beach 12004 $9,541 [source] 3 years ago
Delray Medical Center 5352 Linton Blvd., Delray Beach 12004 $10,602 [source] 3 years ago
Palmetto General Hospital 2001 West 68Th St., Hialeah 12004 $13,925 [source] 3 years ago
St. Mary's Medical Center 901 45Th St., West Palm Beach 12004 $16,757 [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.