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
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 ยง180.