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:

PRO-SIMPLE REPAIR SCALP

HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM

HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM

HC SMPL RPR SUPFC S/N/AX/G/T 20.1CM-30.0CM

HC SMPL RPR SUPFC S/N/AX/G/T > 30.0CM

North Dakota

Hospital	Address	Code	Price	Last Updated
Essentia Health-Fargo	3000 32Nd Ave S, Fargo	12004	$367 [source]	3 years ago
Sanford Bismarck	300 N 7Th St, Bismarck	12004	$402 [source]	3 years ago
Sanford Mayville	600 1St St Se, Mayville	12004	$437 [source]	3 years ago
Kenmare Community Hospital	317 1St Ave Nw, Kenmare	12004	$464 [source]	3 years ago
Trinity Hospitals	1 Burdick Expy W, Minot	12004	$464 [source]	3 years ago
Sanford Medical Center Fargo	801 Broadway N, Fargo	12004	$657 [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.