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
$437.60
national median
$4,350.00
highest cash price
663
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 | 23 | $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 | 34 | $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 |
|---|---|---|---|
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $72.90 – $1,000.00 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $72.90 – $1,000.00 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $11.55 – $146.46 |
| St. Mary Medical Center | Long Beach, CA | not published | $96.55 – $761.00 |
| California Hospital Medical Center | Los Angeles, CA | not published | $96.55 – $761.00 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $74.03 – $460.95 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $72.90 – $1,000.00 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $61.98 – $268.66 |
| Sequoia Hospital | Redwood City, CA | not published | $96.55 – $912.05 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $11.55 – $146.46 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $23.20 – $146.46 |
| St. Elizabeth Community Hospital | Red Bluff, CA | not published | $172.59 – $518.97 |
| Riverside Methodist Hospital | Columbus, OH | not published | $193.46 – $3,714.00 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $11.55 – $146.46 |
| Methodist Hospital of Sacramento | Sacramento, CA | not published | $70.81 – $518.97 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $11.55 – $146.46 |
| Woodland Memorial Hospital | Woodland, CA | not published | $96.55 – $518.97 |
| Mercy Hospital of Folsom | Folsom, CA | not published | $70.81 – $518.97 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $183.76 – $514.53 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $11.55 – $146.46 |
| Mid Coast Hospital | Brunswick, ME | not published | $67.91 – $257.62 |
| Spring Harbor Hospital | Westbrook, ME | not published | $67.91 – $257.62 |
| Arroyo Grande Hospital | Santa Maria, CA | not published | $96.55 – $252.47 |
| San Martin Hospital | Las Vegas, NV | not published | $69.99 – $224.00 |
| Arizona General Hospital Laveen | Phoenix, AZ | not published | $76.89 – $218.14 |
| Siena Hospital | Henderson, NV | not published | $69.99 – $224.00 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $207.48 – $334.48 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $23.20 – $146.46 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $23.20 – $146.46 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $11.55 – $146.46 |
| Van Wert Hospital | Van Wert, OH | not published | $206.03 – $210.15 |
| O'Bleness Hospital | Athens, OH | not published | $191.57 – $193.49 |
| Mansfield Hospital | Mansfield, OH | not published | $191.57 – $199.24 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $235.88 – $240.84 |