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
UPMC Northwest Seneca, PA $610.80 $53.35 – $327.02
Sentara Albemarle Regional Medical Center Elizabeth City, NC $614.50 $191.77 – $195.61
HSHS St. Mary's Hospital DECATUR, IL $614.88 $165.87 – $854.00
The Unity Hospital of Rochester Rochester, NY $627.20 not published
Providence Newberg Medical Center Newberg, OR $629.25 $219.44 – $408.11
Providence Portland Medical Center Portland, OR $629.25 $219.44 – $738.96
Providence St Vincent Medical Center Portland, OR $629.25 $219.44 – $738.96
Providence Willamette Falls Medical Center Oregon City, OR $629.25 $219.44 – $738.96
Providence Milwaukie Hospital Milwaukie, OR $629.25 $219.44 – $738.96
Adventhealth Fish Memorial Orange City, FL $636.93 $199.04 – $398.76
Adventhealth Daytona Beach Daytona Beach, FL $636.93 $199.04 – $349.69
Adventhealth Palm Coast Palm Coast, FL $636.93 $199.04 – $447.51
Adventhealth Waterman Tavares, FL $636.93 $209.52 – $422.77
Adventhealth Lake Wales Lake Wales, FL $636.93 $209.52 – $465.13
Adventhealth Palm Coast Parkway Palm Coast, FL $636.93 $199.04 – $447.51
Mercy Orthopedic Hospital Springfield Ozark, MO $648.09 $49.44 – $2,083.00
HSHS Good Shepherd Hospital Shelbyville, IL $653.04 $577.32 – $635.05
MaineHealth - Memorial Hospital North Conway, NH $658.95 $52.51 – $118.49
Franklin Memorial Hospital Farmington, ME $668.60 $70.24 – $238.08
SSM Health St. Clare Hospital - Fenton Fenton, MO $683.65 $78.24 – $2,302.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $683.65 $78.24 – $2,302.00
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $683.65 $78.24 – $2,302.00
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $683.65 $78.24 – $2,302.00
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $683.65 $78.24 – $2,302.00
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $683.65 $78.24 – $2,302.00
St. Joseph Health Grimes Hospital Navasota, TX $686.88 $1,423.21 – $4,356.75
St. Joseph Health Burleson Hospital Caldwell, TX $686.88 $863.50 – $3,925.00
St. Joseph Health Madison Hospital Madisonville, TX $686.88 $500.05 – $3,925.00
St. Joseph Health College Station Hospital College Station, TX $686.88 $314.00 – $3,925.00
CHRISTUS Health - West Beaumont Beaumont, TX $693.00 $199.02 – $4,989.00
UPMC Wellsboro Wellsboro, PA $712.80 $53.35 – $944.64
AdventHealth New Smyrna Beach New Smyrna Beach, FL $720.14 $199.04 – $457.69
Emory Hospital Perry Perry, GA $726.00 $177.10 – $4,840.09
Emory Hospital Warner Robins Warner Robins, GA $726.00 $179.73 – $4,840.09
Wellstar Cobb Hospital Austell, GA $741.00 $203.79 – $2,665.00
Wellstar Douglas Hospital Douglasville, GA $741.00 $201.95 – $2,665.00
Wellstar Kennestone Hospital Marietta, GA $741.00 $203.79 – $2,665.00
Wellstar MCG Health Augusta, GA $741.00 $175.82 – $693.00
Wellstar North Fulton Hospital Roswell, GA $741.00 $203.79 – $2,665.00
Wellstar Paulding Hospital Hiram, GA $741.00 $203.79 – $2,665.00
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $741.00 not published
Wellstar Spalding Regional Hospital Griffin, GA $741.00 $201.24 – $2,665.00
Wellstar Sylvan Grove Hospital Jackson, GA $741.00 $565.10 – $3,391.00
Wellstar West Georgia Medical Center Lagrange, GA $741.00 $197.43 – $2,665.00
Wellstar Windy Hill Hospital Marietta, GA $741.00 $188.82 – $2,665.00
HSHS St. John's Hospital IL 62769|301 N. 8th St., IL $743.76 $157.97 – $1,033.00
MUSC Health Florence Medical Center Florence, SC $744.00 $186.61 – $2,118.00
UPMC Horizon-Greenville Greenville, PA $749.40 $53.35 – $355.48
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $750.20 $112.64 – $412.94
UPMC St. Margaret Pittsburgh, PA $753.00 $53.35 – $333.58

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