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
Maine
Hospital Address Code Price Last Updated
Northern Light Blue Hill Hospital 57 Water Street, Blue Hill 12004 $63 [source] 3 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle 12004 $168 [source] 3 years ago
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville 12004 $169 [source] 3 years ago
Sebasticook Valley Health 447 N Main St, Pittsfield 12004 $310 [source] 3 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville 12004 $393 [source] 3 years ago
Northern Light Maine Coast Hospital 50 Union St, Ellsworth 12004 $426 [source] 3 years ago
Eastern Maine Medical Center 489 State St, Bangor 12004 $430 [source] 3 years ago
Mercy Hospital 144 State St, Portland 12004 $532 [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.