Code: 12005

Description:
HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM
Other Descriptions:
RSW SIMP H/N/T/E 12.6-20
SIM LAC SCLP-BDY 12.6-20CM
HC RSW SIMP H/N/T/E 12.6-20
REP SW SCALP/NECK OVER 12
ER REPA-SUTUR OVER 3INCH
REPAIR SIM A 12.6+AC0-20.0CM PF
Rpr s/n/a/gen/trk12.6+AC0-20.0cm
Repair Scalp/neck 12.6-20cm
Related codes:
Code: 12001
PRO-SIMPLE REPAIR SCALP
Code: 12002
HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM
Code: 12004
HC SMPL RPR SUPFC S/N/AX/G/T 7.6CM-12.5CM
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
Idaho
Hospital Address Code Price Last Updated
Boundary Community Hospital 6640 Kaniksu St, Bonners Ferry 12005 $138 [source] 3 years ago
Shoshone Medical Center 25 Jacobs Gulch Rd, Kellogg 12005 $183 [source] 3 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding 12005 $210 [source] 3 years ago
Lost Rivers Medical Center 551 Highland Dr, Arco 12005 $230 [source] 3 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint 12005 $247 [source] 3 years ago
Power County Hospital 510 Roosevelt St, American Falls 12005 $319 [source] 3 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs 12005 $323 [source] 3 years ago
West Valley Medical Center 3720 S Indiana Ave, Caldwell 12005 $430 [source] 3 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon 12005 $465 [source] 3 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier 12005 $487 [source] 3 years ago
Minidoka Medical Center 1308 8Th St, Suite 1, Rupert 12005 $516 [source] 3 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 12005 $706 [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.