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 |
|---|---|---|---|
| Sanford Tracy Hospital | Tracy, MN | $414.40 | $125.41 – $466.20 |
| Mercy Hospital Berryville | Berryville, AR | $418.60 | $71.22 – $186.33 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $419.62 | $174.46 – $899.99 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $424.55 | $72.78 – $606.50 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $426.00 | $215.00 – $399.91 |
| Mercy Hospital Aurora | Aurora, MO | $426.40 | $72.11 – $260.86 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $428.91 | $64.60 – $314.92 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $429.12 | $226.16 – $596.00 |
| Sanford Canby Medical Center | Canby, MN | $429.60 | $130.01 – $483.30 |
| Mercy Hospital Lincoln | Troy, MO | $429.65 | $237.15 – $260.86 |
| Wetzel County Hospital | New Martinsville, WV | $431.00 | $53.35 – $358.94 |
| MercyOne Centerville Medical Center | Centerville, IA | $434.00 | $23.01 – $434.00 |
| St. Elizabeth Hospital | Enumclaw, WA | $435.87 | $209.69 – $1,110.12 |
| Fresno Medical Center | FRESNO, CA | $436.80 | not published |
| Redwood City Medical Center | Redwood City, CA | $436.80 | not published |
| Oakland Medical Center | Oakland, CA | $436.80 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $436.80 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $436.80 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $436.80 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $436.80 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $436.80 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $436.80 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $436.80 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $436.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $436.80 | not published |
| Vallejo Medical Center | VALLEJO, CA | $436.80 | not published |
| Antioch Medical Center | ANTIOCH, CA | $436.80 | not published |
| Fremont Medical Center | FREMONT, CA | $436.80 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $436.80 | not published |
| San Jose Medical Center | SAN JOSE, CA | $436.80 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $436.80 | not published |
| Grant Memorial Hospital | Petersburg, WV | $437.60 | not published |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $441.60 | $133.64 – $496.80 |
| Sanford Medical Center Mayville | Mayville, ND | $441.60 | $133.64 – $496.80 |
| Reynolds Memorial Hospital | Glen Dale, WV | $443.00 | $50.93 – $335.16 |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $443.80 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $444.52 | $58.61 – $81.76 |
| OSF Holy Family Medical Center | Monmouth, IL | $445.60 | not published |
| OSF Saint Clare Medical Center | Princeton, IL | $445.60 | not published |
| OSF St Francis Hospital | Escanaba, MI | $445.60 | not published |
| OSF Saint Paul Medical Center | Mendota, IL | $445.60 | not published |
| SSM Health Monroe Hospital | Monroe, WI | $447.70 | $194.88 – $4,217.00 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $449.23 | $209.54 – $811.72 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $450.45 | $215.00 – $225.75 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $450.45 | $215.00 – $225.75 |
| OSF Saint Anthony Medical Center | Rockford, IL | $452.40 | $134.55 – $1,468.00 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $453.60 | $215.00 – $1,757.00 |
| UPMC Bedford | Everett, PA | $454.20 | $50.92 – $681.30 |
| Sanford Wheaton | Wheaton, MN | $454.40 | $137.51 – $511.20 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $456.00 | $239.35 – $623.09 |