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
Texas
Hospital Address Code Price Last Updated
South Texas Health System Heart 1900 South D Street, Mcallen 12004 $80 [source] 3 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen 12004 $80 [source] 3 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg 12004 $80 [source] 3 years ago
Kimble Hospital - Emergency Room 349 Reid Rd, Junction 12004 $125 [source] 3 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo 12004 $149 [source] 3 years ago
Parkview Regional Hospital 600 South Bonham Street, Mexia 12004 $166 [source] 3 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie 12004 $171 [source] 3 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison 12004 $212 [source] 3 years ago
Ascension Providence 6901 Medical Pkwy, Woodway 12004 $297 [source] 3 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple 12004 $342 [source] 3 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham 12004 $399 [source] 3 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station 12004 $399 [source] 3 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls 12004 $399 [source] 3 years ago
Texas Health Huguley 11801 South Fwy, Burleson 12004 $400 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas 12004 $400 [source] 3 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen 12004 $400 [source] 3 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin 12004 $463 [source] 3 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda 12004 $463 [source] 3 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy 12004 $463 [source] 3 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville 12004 $463 [source] 3 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor 12004 $463 [source] 3 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving 12004 $483 [source] 3 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney 12004 $483 [source] 3 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco 12004 $483 [source] 3 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey 12004 $483 [source] 3 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth 12004 $483 [source] 3 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano 12004 $483 [source] 3 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie 12004 $483 [source] 3 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett 12004 $483 [source] 3 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine 12004 $483 [source] 3 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano 12004 $483 [source] 3 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo 12004 $488 [source] 3 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine 12004 $854 [source] 3 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass 12004 $1,041 [source] 3 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton 12004 $1,447 [source] 3 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas 12004 $1,447 [source] 3 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano 12004 $1,447 [source] 3 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso 12004 $5,445 [source] 3 years ago
The Hospitals Of Providence Transmountain Campus 2000 Transmountain Road, El Paso 12004 $5,906 [source] 3 years ago
The Hospitals Of Providence Sierra Campus 1625 Medical Center Dr., El Paso 12004 $7,510 [source] 3 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso 12004 $9,775 [source] 3 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio 12004 $10,388 [source] 3 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio 12004 $10,388 [source] 3 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio 12004 $10,388 [source] 3 years ago
Baptist Medical Center 111 Dallas St., San Antonio 12004 $10,388 [source] 3 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio 12004 $10,388 [source] 3 years ago
Valley Baptist Medical Center 1040 West Jefferson, Brownsville 12004 $11,672 [source] 3 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen 12004 $11,977 [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.