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.
Most expensive published cash price
$4,350.00
Monmouth Medical Center Southern Campus — Lakewood, NJMedian 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 |
|---|---|---|---|
| Mary Immaculate Hospital | Newport News, VA | $760.80 | not published |
| Maryview Hospital | Portsmouth, VA | $760.80 | not published |
| Harbour View Medical Center | Suffolk, VA | $760.80 | not published |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $774.40 | $215.00 – $1,766.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $778.05 | $189.02 – $3,576.15 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $795.50 | $192.78 – $1,544.00 |
| Covenant Medical Center | Lubbock, TX | $798.00 | $118.19 – $267.34 |
| Covenant Children's Hospital | Lubbock, TX | $798.00 | $116.22 – $2,444.00 |
| Covenant Specialty Hospital | Lubbock, TX | $798.00 | not published |
| AdventHealth Orlando | Orlando, FL | $800.00 | $209.52 – $555.22 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $804.10 | $151.57 – $4,074.00 |
| UPMC Community Osteopathic | Harrisburg, PA | $808.20 | $61.59 – $1,144.95 |
| UPMC Hanover | Hanover, PA | $808.20 | $61.59 – $966.78 |
| UPMC Lititz | Lititz, PA | $808.20 | $61.59 – $966.78 |
| UPMC Memorial | York, PA | $808.20 | $61.59 – $966.78 |
| UPMC Somerset | Somerset, PA | $808.20 | $53.35 – $848.70 |
| UPMC Carlisle | Carlisle, PA | $808.20 | $61.59 – $1,144.95 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $819.00 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $819.00 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $819.00 | not published |
| UPMC Altoona | Altoona, PA | $819.60 | $48.50 – $1,092.80 |
| OSF St Joseph Medical Center | Bloomington, IL | $822.60 | $215.00 – $1,383.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $826.98 | $199.85 – $2,277.00 |
| Providence Alaska Medical Center | Anchorage, AK | $836.16 | $1,453.91 – $1,453.91 |
| Sentara Leigh Hospital | Norfolk, VA | $854.00 | $199.67 – $5,220.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $854.00 | $199.67 – $5,220.00 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $854.00 | $199.67 – $5,220.00 |
| Sentara Obici Hospital | Suffolk, VA | $854.00 | $199.67 – $5,220.00 |
| Sentara CarePlex Hospital | Hampton, VA | $854.00 | $199.67 – $205.54 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $854.00 | $199.67 – $3,988.00 |
| Sentara Norfolk General Hospital | Norfolk, VA | $854.00 | $199.67 – $5,220.00 |
| UPMC Hamot | Erie, PA | $856.20 | $53.35 – $333.58 |
| UPMC East | Monroeville, PA | $856.80 | $53.35 – $1,142.40 |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $875.40 | $53.35 – $191.90 |
| Allen Hospital | Oberlin, OH | $876.00 | not published |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $879.00 | $223.37 – $798.28 |
| Kadlec Regional Medical Center | Richland, WA | $882.70 | $123.35 – $648.25 |
| Healdsburg Hospital | Healdsburg, CA | $886.89 | $270.32 – $3,982.87 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $889.90 | $146.16 – $4,198.00 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $891.89 | $76.89 – $153.70 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $939.00 | $223.36 – $798.28 |
| Providence Seward Hospital | Seward, AK | $939.12 | not published |
| St Mary's Hospital | Richmond, VA | $941.40 | not published |
| St Francis Medical Center | Midlothian, VA | $941.40 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $941.40 | not published |
| Richmond Community Hospital | Richmond, VA | $941.40 | not published |
| UPMC McKeesport | Mckeesport, PA | $951.00 | $53.35 – $333.58 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $958.00 | $148.33 – $270.00 |
| Corewell Health Taylor | Taylor, MI | $958.00 | $149.01 – $270.00 |
| Corewell Health Trenton | Trenton, MI | $958.00 | $148.18 – $270.00 |