Ghs simple repair 7.6 - 12.5 cm - 12004 cost at US hospitals
GHS SIMPLE REPAIR 7.6 - 12.5 CM - 12004 · CPT 12004
$142.50
lowest cash price
$589.80
national median
$1,341.60
highest cash price
12
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $142.50–$1,341.60 — the variation is the story.
Median cash price over time
Mar 1, 2026 ($712.80) → Jul 1, 2026 ($239.25)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Ohio | 3 | $142.50 | $239.25 | $362.25 |
| Pennsylvania | 9 | $510.00 | $712.80 | $1,341.60 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Samaritan Medical Center | Ashland, OH | $142.50 | $194.58 – $350.24 |
| University Hospitals Geneva Medical Center | Geneva, OH | $239.25 | $63.80 – $287.10 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $362.25 | $118.34 – $434.70 |
| UPMC Mercy | Pittsburgh, PA | $510.00 | $53.35 – $765.00 |
| UPMC Muncy | Muncy, PA | $589.80 | $53.35 – $944.64 |
| UPMC Williamsport | Williamsport, PA | $589.80 | $53.35 – $944.64 |
| UPMC Northwest | Seneca, PA | $610.80 | $53.35 – $865.30 |
| UPMC Wellsboro | Wellsboro, PA | $712.80 | $53.35 – $944.64 |
| UPMC St. Margaret | Pittsburgh, PA | $753.00 | $53.35 – $1,066.75 |
| UPMC Somerset | Somerset, PA | $808.20 | $53.35 – $1,010.25 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $1,070.40 | $53.35 – $1,516.40 |
| UPMC Presbyterian | Pittsburgh, PA | $1,341.60 | $53.35 – $1,900.60 |