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
Corewell Health Troy Troy, MI $958.00 $167.27 – $269.88
Corewell Health Wayne Wayne, MI $958.00 $147.62 – $270.00
Houston Methodist Hospital Houston, TX $965.50 $201.55 – $2,956.00
Providence Valdez Medical Center Valdez, AK $982.02 not published
AdventHealth Parker Parker, CO $983.92 $127.23 – $1,083.00
AdventHealth Littleton Littleton, CO $983.92 $127.23 – $1,083.00
AdventHealth Porter Denver, CO $983.92 $127.23 – $1,083.00
AdventHealth Avista Louisville, CO $983.92 $127.23 – $1,083.00
AdventHealth Castle Rock Castle Rock, CO $983.92 $127.23 – $1,083.00
NewYork-Presbyterian Queens Flushing, NY $1,000.00 $143.00 – $654.59
Lourdes Hospital Paducah, KY $1,015.20 not published
Providence Mission Hospital - Mission Viejo Mission Viejo, CA $1,056.48 $219.34 – $1,597.00
UPMC Passavant-McCandless Pittsburgh, PA $1,070.40 $53.35 – $387.88
Texas Health Hospital Mansfield Mansfield, TX $1,120.75 $201.55 – $1,187.00
Texas Health Huguley Hospital Fort Worth South Burleson, TX $1,120.75 $201.88 – $1,187.00
WellSpan Gettysburg Hospital Gettysburg, PA $1,122.40 $60.63 – $356.09
WellSpan Chambersburg Hospital Chambersburg, PA $1,122.40 $60.63 – $1,010.16
WellSpan Waynesboro Hospital Waynesboro, PA $1,122.40 $50.93 – $720.29
MEDICAL CITY FRISCO HOSPITAL Frisco, TX $1,137.05 $202.56 – $380.91
Adventhealth Durand Durand, WI $1,142.40 not published
Adventhealth Rollins Brook Lampasas, TX $1,142.40 $218.41 – $4,826.69
Adventhealth Manchester Manchester, KY $1,142.40 $188.25 – $188.25
Adventhealth Central Texas Killeen, TX $1,142.40 $201.55 – $4,826.69
Queen of The Valley Medical Center Napa, CA $1,145.97 $284.87 – $6,200.00
St Anne Hospital Toledo, OH $1,147.80 not published
Adventhealth Murray Po Box 1406, GA $1,164.26 $186.80 – $370.24
Adventhealth Gordon Calhoun, GA $1,164.26 $199.71 – $403.91
AdventHealth Polk Columbus, NC $1,203.93 not published
OSF Saint Anthony's Health Center Alton, IL $1,213.20 $146.00 – $219.30
UKIAH ADVENTIST HOSPITAL Ukiah, CA $1,220.60 $12.00 – $276.37
Adventhealth Port Charlotte Port Charlotte, FL $1,230.98 $209.52 – $382.58
Providence Medford Medical Center Medford, OR $1,248.75 $203.33 – $508.33
WellSpan Good Samaritan Hospital Lebanon, PA $1,248.80 $60.63 – $1,131.20
SSM Health Saint Louis University Hospital Saint Louis, MO $1,258.95 $89.84 – $3,085.00
WellSpan Ephrata Community Hospital Ephrata, PA $1,262.40 $60.63 – $335.83
Providence St Joseph Hospital Eureka Eureka, CA $1,312.74 $258.05 – $8,018.00
Redwood Memorial Hospital Fortuna, CA $1,316.31 $1,333.00 – $20,799.00
UPMC Presbyterian Pittsburgh, PA $1,341.60 $53.35 – $885.60
Santa Rosa Memorial Hospital Santa Rosa, CA $1,358.64 $279.18 – $4,042.00
Adventhealth Sebring Sebring, FL $1,519.39 $214.76 – $476.15
Providence Kodiak Island Medical Center Kodiak, AK $1,526.46 not published
Adventhealth Ocala Ocala, FL $1,549.15 $209.52 – $465.13
Adventhealth Hendersonville Hendersonville, NC $1,592.00 $191.77 – $478.85
West Virginia University Hospitals Morgantown, WV $1,690.44 $48.50 – $818.15
Petaluma Valley Hospital Petaluma, CA $1,727.88 $270.38 – $1,687.00
Adventhealth Shawnee Mission Shawnee Mission, KS $2,061.82 $162.00 – $1,087.00
Adventhealth South Overland Park Overland Park, KS $2,061.82 $162.00 – $1,087.00
Adventhealth Ottawa Ottawa, KS $2,061.82 $162.00 – $1,087.00
Adventhealth Tampa Tampa, FL $2,198.18 $209.52 – $465.13
Adventhealth Riverview Riverview, FL $2,198.18 not published

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