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
Minnesota
Hospital Address Code Price Last Updated
Buffalo Hospital 303 Catlin St, Buffalo 12004 $178 [source] 3 years ago
Cambridge Medical Center 701 Dellwood St, Cambridge 12004 $178 [source] 3 years ago
Hennepin Healthcare 716 South 7Th Street, Minneapolis 12004 $189 [source] 3 years ago
Essentia Health-Ada 201 9Th St W, Ada 12004 $341 [source] 3 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston 12004 $341 [source] 3 years ago
Essentia Health-Holy Trinity Hospital (Graceville) 115 W 2Nd St, Graceville 12004 $341 [source] 3 years ago
Essentia Health St. Mary's-Detroit Lakes 1027 Washington Ave, Detroit Lakes 12004 $367 [source] 3 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone 12004 $372 [source] 3 years ago
Essentia Health-Northern Pines 5211 Hwy 110, Aurora 12004 $372 [source] 3 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River 12004 $372 [source] 3 years ago
Essentia Health-Virginia 901 9Th St N, Virginia 12004 $384 [source] 3 years ago
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth 12004 $384 [source] 3 years ago
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth 12004 $384 [source] 3 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd 12004 $441 [source] 3 years ago
Sanford Bemidji Medical Center 1300 Anne St Nw, Bemidji 12004 $463 [source] 3 years ago
Sanford Bagley Medical Center 203 4Th St Nw, Bagley 12004 $463 [source] 3 years ago
Sanford Thief River Falls 120 Labree Ave S, Thief River Falls 12004 $503 [source] 3 years ago
Avera Granite Falls Health Center 345 10Th Ave, Granite Falls 12004 $604 [source] 3 years ago
District One Hospital , Faribault 12004 $1,978 [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.