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
Kentucky
Hospital Address Code Price Last Updated
Bluegrass Community Hospital 360 Amsden Avenue, Versailles 12004 $89 [source] 3 years ago
Spring View Hospital 320 Loretto Road, Lebanon 12004 $156 [source] 3 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville 12004 $156 [source] 3 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield 12004 $158 [source] 3 years ago
Bourbon Community Hospital 9 Linville Drive, Paris 12004 $165 [source] 3 years ago
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester 12004 $400 [source] 3 years ago
Fleming County Hospital 55 Foundation Drive, Flemingsburg 12004 $429 [source] 3 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester 12004 $562 [source] 3 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset 12004 $661 [source] 3 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown 12004 $753 [source] 3 years ago
Logan Memorial Hospital 1625 Nashville Street, Russellville 12004 $837 [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.