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
Michigan
Hospital Address Code Price Last Updated
Mclaren Northern Michigan 416 Connable Ave, Petoskey 12004 $110 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren 12004 $124 [source] 3 years ago
St. John Providence 28000 Dequindre Rd, Warren 12004 $124 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield 12004 $124 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester 12004 $134 [source] 3 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet 12004 $142 [source] 3 years ago
Aspirus Ontonagon Hospital 601 S Seventh St, Ontonagon 12004 $142 [source] 3 years ago
Up Health System – Bell 901 Lakeshore Drive, Ishpeming 12004 $232 [source] 3 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens 12004 $241 [source] 3 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron 12004 $314 [source] 3 years ago
Midmichigan Medical Center Gladwin , Gladwin 12004 $323 [source] 3 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer 12004 $338 [source] 3 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint 12004 $350 [source] 3 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing 12004 $379 [source] 3 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak 12004 $394 [source] 3 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City 12004 $403 [source] 3 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City 12004 $403 [source] 3 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant 12004 $517 [source] 3 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe 12004 $536 [source] 3 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood 12004 $607 [source] 3 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River 12004 $607 [source] 3 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma 12004 $637 [source] 3 years ago
Up Health System – Marquette 580 West College Avenue, Marquette 12004 $679 [source] 3 years ago
Mclaren Oakland 50 N Perry St, Pontiac 12004 $1,062 [source] 3 years ago
Ascension Borgess - Pipp Hospital 411 Naomi St, Plainwell 12004 $1,089 [source] 3 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe 12004 $1,405 [source] 3 years ago
Beaumont Wayne 33155 Annapolis St, Wayne 12004 $1,929 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, 12004 $1,929 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn 12004 $1,929 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn 12004 $1,929 [source] 3 years ago
William Beaumont Hospital 5450 Fort St, Trenton 12004 $1,929 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn 12004 $1,929 [source] 3 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor 12004 $1,929 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre, Troy 12004 $2,453 [source] 3 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak 12004 $2,453 [source] 3 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak 12004 $2,453 [source] 3 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy 12004 $2,453 [source] 3 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak 12004 $2,453 [source] 3 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak 12004 $2,453 [source] 3 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak 12004 $2,453 [source] 3 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak 12004 $2,453 [source] 3 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak 12004 $2,453 [source] 3 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak 12004 $2,453 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy 12004 $2,453 [source] 3 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington 12004 $2,977 [source] 3 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington 12004 $2,977 [source] 3 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township 12004 $3,486 [source] 3 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit 12004 $4,292 [source] 3 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit 12004 $6,332 [source] 3 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit 12004 $11,185 [source] 3 years ago
Dmc Detroit Receiving Hospital 4201 St. Antoine Blvd, Detroit 12004 $11,324 [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 §180.