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 |
|---|---|---|---|
| Harlem Hospital Center | New York, NY | $235.13 | $82.33 – $781.00 |
| Woodhull Medical Center | Brooklyn, NY | $235.13 | $75.46 – $781.00 |
| Queens Hospital Center | Jamaica, NY | $235.13 | $75.46 – $781.00 |
| Elmhurst Hospital Center | NY 11373, NY | $235.13 | $81.02 – $781.00 |
| Jacobi Medical Center | Bronx, NY | $235.13 | $85.16 – $781.00 |
| South Brooklyn Health | Brooklyn, NY | $235.13 | $85.16 – $781.00 |
| North Central Bronx | Bronx, NY | $235.13 | $85.16 – $781.00 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $235.35 | not published |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $235.35 | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $235.35 | not published |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $235.35 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $235.35 | not published |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $235.35 | not published |
| Texas Health Hospital Frisco | Frisco, TX | $235.35 | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $235.35 | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $235.35 | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $235.35 | not published |
| Texas Health Hospital Rockwall | Rockwall, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $235.35 | not published |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $235.35 | not published |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $236.12 | $149.83 – $8,568.00 |
| UPMC Jameson | New Castle, PA | $237.60 | $53.35 – $848.70 |
| CHI Health Missouri Valley | Missouri Valley, IA | $238.14 | $90.75 – $355.74 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $239.25 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $239.25 | not published |
| CHI Health St. Elizabeth | Lincoln, NE | $240.50 | $110.63 – $384.80 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $248.64 | $126.00 – $680.40 |
| CHI Memorial Hospital Hixson | Hixson, TN | $248.64 | $168.00 – $588.00 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $249.12 | $346.00 – $385.17 |
| Stephens Memorial Hospital | Norway, ME | $253.50 | $53.18 – $129.53 |
| Providence Saint John's Health Center | Santa Monica, CA | $261.45 | $206.01 – $1,487.00 |
| Urbana Hospital | Urbana, OH | $261.60 | not published |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $262.40 | $207.03 – $589.25 |
| Parkview Montpelier Hospital | Montpelier, OH | $262.50 | not published |
| Parkview Bryan Hospital | Bryan, OH | $262.50 | $199.61 – $598.82 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $266.85 | $130.17 – $444.75 |
| Uniontown Hospital | Uniontown, PA | $268.00 | $53.35 – $403.89 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $268.80 | $190.20 – $266.28 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $275.80 | $258.05 – $1,318.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $275.80 | $258.05 – $1,321.00 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $275.88 | $46.01 – $250.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $275.88 | $46.01 – $459.79 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $275.88 | $46.01 – $250.00 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $275.88 | $46.01 – $459.79 |
| Summersville Regional Medical Center | Summersville, WV | $276.00 | not published |