Ghs simple repair 7.6 - 12.5 cm - 12004 cost in Pennsylvania
GHS SIMPLE REPAIR 7.6 - 12.5 CM - 12004 · CPT 12004
$237.60
lowest in Pennsylvania
$808.20
state median
$1,341.60
highest in Pennsylvania
$436.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Jameson | New Castle | $237.60 | $53.35 – $848.70 | 14 |
| Uniontown Hospital | Uniontown | $268.00 | $53.35 – $403.89 | 31 |
| UPMC Kane | Kane | $292.80 | $53.35 – $554.78 | 10 |
| UPMC Bedford | Everett | $454.20 | $50.92 – $681.30 | 20 |
| UPMC Mercy | Pittsburgh | $510.00 | $53.35 – $268.39 | 9 |
| UPMC Magee | Pittsburgh | $519.60 | $53.35 – $333.58 | 11 |
| UPMC Cole | Coudersport | $554.40 | $50.92 – $2,325.85 | 16 |
| UPMC Muncy | Muncy | $589.80 | $53.35 – $944.64 | 8 |
| UPMC Williamsport | Williamsport | $589.80 | $53.35 – $944.64 | 12 |
| UPMC Northwest | Seneca | $610.80 | $53.35 – $327.02 | 10 |
| UPMC Wellsboro | Wellsboro | $712.80 | $53.35 – $944.64 | 8 |
| UPMC Horizon-Greenville | Greenville | $749.40 | $53.35 – $355.48 | 13 |
| UPMC St. Margaret | Pittsburgh | $753.00 | $53.35 – $333.58 | 9 |
| UPMC Community Osteopathic | Harrisburg | $808.20 | $61.59 – $1,144.95 | 17 |
| UPMC Hanover | Hanover | $808.20 | $61.59 – $966.78 | 14 |
| UPMC Lititz | Lititz | $808.20 | $61.59 – $966.78 | 12 |
| UPMC Memorial | York | $808.20 | $61.59 – $966.78 | 12 |
| UPMC Somerset | Somerset | $808.20 | $53.35 – $848.70 | 8 |
| UPMC Carlisle | Carlisle | $808.20 | $61.59 – $1,144.95 | 19 |
| UPMC Altoona | Altoona | $819.60 | $48.50 – $1,092.80 | 14 |
| UPMC Hamot | Erie | $856.20 | $53.35 – $333.58 | 16 |
| UPMC East | Monroeville | $856.80 | $53.35 – $1,142.40 | 16 |
| WellSpan Evangelical Community Hospital | Lewisburg | $875.40 | $53.35 – $191.90 | 25 |
| UPMC McKeesport | Mckeesport | $951.00 | $53.35 – $333.58 | 9 |
| UPMC Passavant-McCandless | Pittsburgh | $1,070.40 | $53.35 – $387.88 | 12 |
| WellSpan Gettysburg Hospital | Gettysburg | $1,122.40 | $60.63 – $356.09 | 23 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,122.40 | $60.63 – $1,010.16 | 23 |
| WellSpan Waynesboro Hospital | Waynesboro | $1,122.40 | $50.93 – $720.29 | 21 |
| WellSpan Good Samaritan Hospital | Lebanon | $1,248.80 | $60.63 – $1,131.20 | 22 |
| WellSpan Ephrata Community Hospital | Ephrata | $1,262.40 | $60.63 – $335.83 | 20 |
| UPMC Presbyterian | Pittsburgh | $1,341.60 | $53.35 – $885.60 | 14 |
| WellSpan Newberry Hospital | Etters | not published | not published | 0 |