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
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12005 $89 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 12005 $145 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 12005 $145 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12005 $281 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 12005 $355 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 12005 $357 [source] 3 years ago
River Falls Area Hospital , River Falls 12005 $374 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 12005 $440 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 12005 $482 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12005 $530 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12005 $692 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 12005 $814 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 12005 $814 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 12005 $814 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 12005 $830 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12005 $949 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12005 $1,093 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12005 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12005 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12005 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12005 $1,265 [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.