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 |
|---|---|---|---|
| Providence Mount Carmel Hospital | Colville, WA | $160.30 | not published |
| 64-0663760 BMH Booneville | Booneville, MS | $161.28 | $169.91 – $495.57 |
| CHI St. Vincent North | Sherwood, AR | $161.42 | $183.66 – $512.55 |
| CHI St. Vincent Morrilton | Morrilton, AR | $161.74 | $177.80 – $186.69 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $162.50 | $215.00 – $348.31 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $162.50 | $210.49 – $348.31 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $162.50 | $210.49 – $348.31 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $162.50 | $215.00 – $348.31 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $163.45 | $203.00 – $1,287.00 |
| Providence St Joseph Hospital | Chewelah, WA | $166.60 | not published |
| Mark Twain Medical Center | San Andreas, CA | $177.16 | $68.82 – $260.68 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $178.34 | $82.51 – $756.04 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $178.34 | $82.51 – $425.27 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $178.34 | $82.51 – $455.47 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $178.34 | $82.51 – $159.12 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $178.34 | $82.51 – $149.60 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $178.34 | $82.51 – $149.60 |
| Baptist Hospital | MIAMI, FL | $182.00 | $48.44 – $252.00 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $182.00 | $56.28 – $252.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $182.00 | $48.72 – $252.00 |
| Banner Thunderbird Medical Center | Glendale, AZ | $182.64 | $72.99 – $444.75 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $187.21 | $76.89 – $585.97 |
| Thomas Hospitals | South Charleston, WV | $191.00 | $105.00 – $969.26 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $195.72 | $69.90 – $396.10 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $195.72 | $79.22 – $396.10 |
| Lasting Hope Recovery Center | Omaha, NE | $195.72 | $79.22 – $396.10 |
| CHI Health Immanuel | Omaha, NE | $195.72 | $65.24 – $396.10 |
| CHI Health Lakeside | Omaha, NE | $195.72 | $74.56 – $396.10 |
| CHI Health Midlands | Papillion, NE | $195.72 | $83.88 – $396.10 |
| Chandler Regional Medical Center | Chandler, AZ | $203.95 | $76.89 – $639.24 |
| Springfield Medical Center | Springfield, OH | $204.00 | not published |
| Banner Desert Medical Center | Mesa, AZ | $209.92 | $130.17 – $444.75 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $210.35 | $203.00 – $1,528.00 |
| Banner University Medical Center Tucson | Tucson, AZ | $215.62 | $130.17 – $475.20 |
| Ocean University Medical Center | Brick, NJ | $217.16 | $148.59 – $368.00 |
| Southern Ocean Medical Center | Manahawkin, NJ | $217.16 | $148.59 – $260.59 |
| Bayshore Medical Center | Holmdel, NJ | $219.93 | $148.59 – $368.00 |
| Jersey Shore University Medical Center | Neptune City, NJ | $219.93 | $148.59 – $263.92 |
| Riverview Medical Center | Red Bank, NJ | $219.93 | $148.59 – $368.00 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $220.12 | $148.59 – $795.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $220.12 | $153.61 – $220.12 |
| Providence St Joseph Medical Center | Polson, MT | $227.20 | $589.25 – $589.25 |
| Banner Baywood Medical Center | Mesa, AZ | $227.71 | $130.17 – $444.75 |
| CHI Health Mercy Corning | Corning, IA | $233.28 | $90.75 – $355.74 |
| Hackensack University Medical Center | Hackensack, NJ | $234.00 | $153.61 – $245.70 |
| Palisades Medical Center | North Bergen, NJ | $234.00 | $153.61 – $255.06 |
| Bellevue Hospital Center | NY 10016, NY | $235.13 | $62.55 – $781.00 |
| Kings County Hospital Center | Brooklyn, NY | $235.13 | $62.55 – $781.00 |
| Lincoln Medical Center | Bronx, NY | $235.13 | $85.16 – $781.00 |
| Metropolitan Hospital Center | New York, NY | $235.13 | $85.16 – $781.00 |