Ghs simple repair 7.6 - 12.5 cm - 12004 cost at US hospitals

GHS SIMPLE REPAIR 7.6 - 12.5 CM - 12004 · CPT 12004

$32.48

lowest cash price

$436.80

national median

$4,350.00

highest cash price

660

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $32.48–$4,350.00 — the variation is the story.

Cheapest published cash price

$32.48

LODI MEMORIAL HOSPITAL ASSOCIATION INC — Lodi, CA

Most expensive published cash price

$4,350.00

Monmouth Medical Center Southern Campus — Lakewood, NJ

Median cash price over time

Sep 1, 2025 ($253.50) → Sep 1, 2026 ($382.00)

By state

State Hospitals Lowest cash Median Highest
Alaska 5 $836.16 $939.12 $1,526.46
Arizona 13 $143.01 $209.92 $891.89
Arkansas 10 $36.00 $398.45 $418.60
California 83 $32.48 $436.80 $1,727.88
Colorado 15 $78.47 $983.92 $983.92
Florida 75 $182.00 $636.93 $3,049.88
Georgia 25 $248.64 $741.00 $2,510.28
Hawaii 2 $102.72 $102.72 $399.75
Illinois 48 $162.50 $452.40 $1,213.20
Indiana 25 $294.00 $294.00 $361.80
Iowa 26 $195.72 $324.60 $778.05
Kansas 10 $96.80 $2,061.82 $2,061.82
Kentucky 15 $287.40 $347.21 $1,142.40
Louisiana 2 $470.08 $470.08 $470.08
Maine 7 $253.50 $395.80 $668.60
Michigan 27 $275.88 $352.00 $958.00
Minnesota 10 $356.00 $429.60 $539.20
Mississippi 11 $48.00 $127.35 $510.40
Missouri 19 $159.75 $683.65 $1,258.95
Montana 2 $227.20 $227.20 $262.40
Nebraska 13 $84.71 $195.72 $413.10
Nevada 3 not published by hospital not published by hospital not published by hospital
New Hampshire 1 $658.95 $658.95 $658.95
New Jersey 12 $217.16 $220.12 $4,350.00
New Mexico 2 $386.82 $386.82 $386.82
New York 22 $100.20 $235.13 $1,000.00
North Carolina 15 $399.20 $399.20 $1,592.00
North Dakota 4 $441.60 $441.60 $609.60
Ohio 60 $142.50 $387.40 $1,147.80
Oklahoma 15 $178.34 $394.55 $750.20
Oregon 13 $289.71 $573.75 $1,248.75
Pennsylvania 32 $237.60 $808.20 $1,341.60
South Carolina 11 $342.50 $493.00 $795.50
South Dakota 7 $370.40 $500.00 $534.40
Tennessee 30 $46.20 $124.20 $355.32
Texas 104 $235.35 $569.06 $1,142.40
Virginia 33 $121.90 $534.00 $941.40
Washington 32 $160.30 $435.87 $882.70
West Virginia 17 $191.00 $395.50 $1,690.44
Wisconsin 22 $107.06 $602.58 $1,142.40
Wyoming 3 $83.62 $93.44 $95.63

All hospitals

Hospital Location Cash price Negotiated range
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $574.00 not published
Northwestern Medicine McHenry Hospital McHenry, IL $574.00 not published
Providence Centralia Hospital Centralia, WA $577.72 $232.33 – $1,022.17
Providence St Peter Hospital Olympia, WA $577.72 $196.13 – $821.23
Defiance Hospital Defiance, OH $578.40 not published
Rochester General Hospital Rochester, NY $584.21 not published
Newark Wayne Community Hospital Newark, NY $584.21 $68.15 – $142.00
Providence St Mary Medical Center Walla Walla, WA $584.50 $177.40 – $793.27
Houston Methodist Sugar Land Hospital Sugar Land, TX $585.00 $201.55 – $2,956.00
Houston Methodist West Hospital Houston, TX $585.00 $201.55 – $2,956.00
Houston Methodist Baytown Hospital Baytown, TX $585.00 $201.55 – $2,956.00
Houston Methodist Willowbrook Hospital Houston, TX $585.00 $201.55 – $2,956.00
Houston Methodist Clear Lake Hospital Nassau Bay, TX $585.00 $101.34 – $2,956.00
Houston Methodist The Woodlands Hospital The Woodlands, TX $585.00 $201.55 – $2,956.00
Houston Methodist Continuing Care Hospital Katy, TX $585.00 $4,610.00 – $7,542.00
Houston Methodist Cypress Hospital Cypress, TX $585.00 $201.55 – $2,956.00
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $586.10 $64.60 – $215.39
Emory Decatur Hospital Decatur, GA $588.00 $201.24 – $4,840.09
Emory Hillandale Hospital Lithonia, GA $588.00 $201.24 – $4,840.09
Emory Long-Term Acute Care Hospital Decatur, GA $588.00 $2,572.00 – $2,572.00
Emory Johns Creek Hospital Johns Creek, GA $588.00 $203.79 – $4,840.09
Emory Rehabilitation Hospital Atlanta, GA $588.00 $188.82 – $4,840.09
Emory Saint Joseph's Hospital Atlanta, GA $588.00 $203.79 – $4,840.09
Emory University Hospital Ne, GA $588.00 $201.24 – $4,840.09
Emory University Hospital Midtown Atlanta, GA $588.00 $203.79 – $4,840.09
UPMC Muncy Muncy, PA $589.80 $53.35 – $944.64
UPMC Williamsport Williamsport, PA $589.80 $53.35 – $944.64
St. Luke's Health - The Vintage Hospital Houston, TX $594.30 $135.84 – $1,698.00
Baylor St Luke's Medical Center Houston, TX $594.30 $186.78 – $1,698.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $594.30 $135.84 – $1,698.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $594.30 $169.80 – $1,698.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $594.30 $135.84 – $1,698.00
Sentara Halifax Regional Hospital South Boston, VA $596.50 $201.25 – $207.17
Massena Hospital Massena, NY $597.57 not published
Gouverneur Hospital Gouverneur, NY $597.57 not published
Providence Saint Joseph Medical Center Burbank, CA $602.00 $202.00 – $1,311.00
HSHS St. Mary's Hospital Medical Center GREEN BAY, WI $602.58 $80.58 – $440.81
HSHS St. Nicholas Hospital SHEBOYGAN, WI $602.58 $80.58 – $441.47
HSHS St. Vincent Hospital Green Bay, WI $602.58 $83.55 – $438.49
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $602.58 $204.98 – $313.69
Canton-Potsdam Hospital Potsdam, NY $606.11 $61.34 – $71.56
AdventHealth Deland Deland, FL $606.60 not published
Swedish Medical Center Cherry Hill Seattle, WA $607.68 $232.33 – $795.02
Swedish Medical Center - First Hill Campus Seattle, WA $607.68 $232.33 – $821.23
Swedish Issaquah Issaquah, WA $607.68 $232.98 – $821.23
Sanford Fargo Medical Center Fargo, ND $609.60 $73.23 – $685.80
Marcum Wallace Hospital Irvine, KY $610.20 not published
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI $610.50 $148.84 – $2,334.00
SSM Health Waupun Memorial Hospital Waupun, WI $610.50 $1,887.00 – $2,654.00
SSM Health Ripon Community Hospital Ripon, WI $610.50 $1,887.00 – $2,654.00

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