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 |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | $534.00 | $198.70 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church, VA | $534.00 | $198.70 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $534.00 | $198.70 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg, VA | $534.00 | $198.70 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $534.00 | $198.70 – $1,509.00 |
| Love County Health Center | Marietta, OK | $534.00 | $67.19 – $115.54 |
| Sanford USD Medical Center | Sioux Falls, SD | $534.40 | $73.23 – $601.20 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $535.16 | $25.07 – $214.19 |
| Sanford Bagley Medical Center | Bagley, MN | $539.20 | $163.18 – $606.60 |
| Sanford Bemidji Medical Center | Bemidji, MN | $539.20 | $144.42 – $606.60 |
| Covenant Hospital Levelland | Levelland, TX | $541.80 | $195.50 – $418.52 |
| St. Michael Medical Center | Silverdale, WA | $544.39 | $777.08 – $1,110.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $545.35 | $71.00 – $681.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $545.35 | $71.00 – $818.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $545.35 | $71.00 – $818.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $545.35 | $71.00 – $727.13 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $553.41 | $159.00 – $373.16 |
| UPMC Cole | Coudersport, PA | $554.40 | $50.92 – $2,325.85 |
| Providence St Joseph Hospital Orange | Orange, CA | $563.04 | $219.34 – $1,535.00 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $568.40 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $569.06 | $111.00 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $569.06 | $151.75 – $711.32 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $569.06 | $151.75 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $569.06 | $142.26 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $569.06 | $104.33 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $569.06 | $104.33 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $569.06 | $161.23 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $569.06 | $191.47 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $569.06 | $113.81 – $711.32 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $569.06 | $104.33 – $711.32 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $569.06 | $121.78 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $569.06 | $111.00 – $711.32 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $569.06 | $75.87 – $711.32 |
| St Francis Downtown | Greenville, SC | $570.60 | not published |
| St Francis Eastside | Greenville, SC | $570.60 | not published |
| Covenant Hospital Plainview | Plainview, TX | $571.62 | $195.50 – $258.37 |
| Downey Medical Center | Downey, CA | $572.00 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $572.00 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $572.00 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $572.00 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $572.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $572.00 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $572.00 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $572.00 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $572.00 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $572.00 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $572.00 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $572.00 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $572.00 | not published |
| Providence Seaside Hospital | Seaside, OR | $573.75 | not published |