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
marymount hospital Garfield Heights, OH $387.40 $0.01 – $536.40
medina hospital Medina, OH $387.40 $0.01 – $536.40
south pointe hospital Warrensville Heights, OH $387.40 $0.01 – $536.40
CHI Health St. Mary's Nebraska City, NE $388.44 $77.76 – $348.48
MercyOne New Hampton Medical Center New Hampton, IA $389.00 $23.01 – $434.00
MercyOne Oelwein Medical Center Oelwein, IA $389.00 $23.01 – $434.00
MercyOne Des Moines Medical Center Des Moines, IA $389.00 $23.01 – $286.22
MercyOne North Iowa Medical Center Mason City, IA $389.00 $23.33 – $282.81
Sanford Canton Inwood Medical Center Canton, SD $389.60 $166.55 – $438.30
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK $391.60 $112.64 – $377.53
OSF Sacred Heart Medical Center – Urbana Danville, IL $393.60 $215.00 – $4,342.00
OSF Saint Elizabeth Medical Center Ottawa, IL $393.60 $215.00 – $219.30
OSF St Mary Medical Center Galesburg, IL $393.60 $215.00 – $1,586.00
Mercy Hospital Tishomingo Tishomingo, OK $394.55 $67.19 – $409.96
Berkeley Medical Center Martinsburg, WV $395.50 $51.90 – $337.92
Lincoln Health Damariscotta, ME $395.80 $70.24 – $257.62
United Hospital Center Bridgeport, WV $396.50 $105.00 – $361.95
Mercy Hospital Ozark River Ozark, AR $398.45 $65.10 – $115.54
Mercy Hospital Waldron Waldron, AR $398.45 $70.03 – $115.54
Mercy Hospital Boonville Booneville, AR $398.45 $66.47 – $115.54
Corewell Health Lakeland Watervliet Watervliet, MI $399.00 $202.08 – $303.12
Corewell Health Lakeland St. Joseph St Joseph, MI $399.00 $185.98 – $299.87
Atrium Health Anson Wadesboro, NC $399.20 $66.68 – $758.48
Atrium Health Mercy Charlotte, NC $399.20 $66.68 – $734.53
Atrium Health Pineville Charlotte, NC $399.20 $66.68 – $734.53
Atrium Health Stanly Albermarle, NC $399.20 $66.68 – $766.46
Atrium Health Behavioral Health Charlotte Charlotte, NC $399.20 $66.68 – $702.59
Atrium Health Cleveland Shelby, NC $399.20 $66.68 – $758.48
Atrium Health Cabarrus Concord, NC $399.20 $66.68 – $758.48
Atrium Health Lincoln Lincolnton, NC $399.20 $66.68 – $758.48
Atrium Health Union Monroe, NC $399.20 $66.68 – $758.48
Carolinas Rehabilitation Charlotte Charlotte, NC $399.20 $66.68 – $734.53
Atrium Health University City Charlotte, NC $399.20 $66.68 – $734.53
Atrium Health Carolinas Medical Center Charlotte, NC $399.20 $66.68 – $718.56
Moanalua Medical Center HONOLULU, HI $399.75 not published
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $401.61 $64.60 – $202.31
Ascension Calumet Hospital, Inc. Chilton, WI $404.13 $74.03 – $282.48
Sanford Sheldon Medical Center Sheldon, IA $407.20 $145.07 – $458.10
Camden Clark Medical Center Parkersburg, WV $408.00 $76.60 – $134.05
CHI Health Plainview Plainview, NE $408.24 $90.75 – $355.74
St. Joseph Medical Center Tacoma, WA $408.52 $491.34 – $925.10
Mercy Hospital Healdton Healdton, OK $408.85 $67.19 – $409.96
Mercy Hospital Carthage Carthage, MO $410.15 $74.53 – $260.86
cleveland clinic main campus Cleveland, OH $412.10 $0.01 – $570.60
akron general Akron, OH $412.10 $0.01 – $570.60
mercy hospital Canton, OH $412.10 $0.01 – $570.60
Mercy Hospital Paris Academy Paris, AR $412.75 $70.03 – $115.54
CHI Health Schuyler Schuyler, NE $413.10 $77.76 – $355.74
SSM Health St. Anthony Hospital - Midwest Midwest City, OK $413.74 $112.64 – $1,496.00
Sanford Westbrook Hospital Westbrook, MN $414.40 $125.41 – $466.20

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