Code: 12004

Description:
HC SMPL RPR SUPFC S/N/AX/G/T 7.6CM-12.5CM
Other Descriptions:
SIM LAC SCLP-BDY 7.6-12.5CM
RSW SIMP H/N/T/E 7.6-12.5CM
PC WOUND GEN 7.6 - 12.5CM
ER REPA-SUTUR 2IN TO 3IN
REPAIR SW SCALP/NECK 7.6-
SIMP.LAC.RPR 7.6-12.5CM
SIMP RPR SCP AX GN TNK EXT PHY
REPAIR SIM A 7.6+AC0-12.5CM PF
Rpr s/n/ax/gen/trk7.6+AC0-12.5cm
Related codes:
Code: 12001
PRO-SIMPLE REPAIR SCALP
Code: 12002
HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM
Code: 12005
HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM
Code: 12006
HC SMPL RPR SUPFC S/N/AX/G/T 20.1CM-30.0CM
Code: 12007
HC SMPL RPR SUPFC S/N/AX/G/T > 30.0CM
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar 12004 $2 [source] 3 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta 12004 $2 [source] 3 years ago
Sutter Coast Hospital 800 E Washington Blvd, Crescent City 12004 $213 [source] 3 years ago
Corona Regional Medical Center 800 S. Main Street, Corona 12004 $216 [source] 3 years ago
Stanislaus Surgical Hospital 1421 Oakdale Rd, Modesto 12004 $219 [source] 3 years ago
Sutter Surgical Hospital - North Valley 455 Plumas Blvd, Yuba City 12004 $222 [source] 3 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy 12004 $240 [source] 3 years ago
Sutter Amador Hospital 200 Mission Blvd,, Jackson 12004 $241 [source] 3 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn 12004 $251 [source] 3 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis 12004 $251 [source] 3 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento 12004 $251 [source] 3 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento 12004 $251 [source] 3 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa 12004 $255 [source] 3 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch 12004 $263 [source] 3 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley 12004 $264 [source] 3 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley 12004 $265 [source] 3 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland 12004 $265 [source] 3 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo 12004 $265 [source] 3 years ago
Novato Community Hospital 180 Rowland Way, Novato 12004 $270 [source] 3 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco 12004 $273 [source] 3 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco 12004 $273 [source] 3 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame 12004 $273 [source] 3 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco 12004 $273 [source] 3 years ago
Sutter Maternity And Surgery Center Of Santa Cruz 2900 Chanticleer Avenue, Santa Cruz 12004 $276 [source] 3 years ago
Sutter Maternity And Surgery Center, Santa Cruz 2900 Chanticleer Ave, Santa Cruz 12004 $276 [source] 3 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale 12004 $396 [source] 3 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula 12004 $396 [source] 3 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto 12004 $429 [source] 3 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville 12004 $466 [source] 3 years ago
Sutter Lakeside Hospital 5176 Hill Rd E, Lakeport 12004 $563 [source] 3 years ago
Memorial Hospital Los Banos 520 W I St, Los Banos 12004 $640 [source] 3 years ago
Vibra Hospital Of Sacramento 330 Montrose Drive, Folsom 12004 $777 [source] 3 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles 12004 $1,029 [source] 3 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine 12004 $1,029 [source] 3 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario 12004 $1,029 [source] 3 years ago
Downey Medical Center 9333 Imperial Hwy, Downey 12004 $1,029 [source] 3 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park 12004 $1,029 [source] 3 years ago
Panorama City Medical Center 13651 Willard St, Panorama City 12004 $1,029 [source] 3 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City 12004 $1,029 [source] 3 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside 12004 $1,029 [source] 3 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills 12004 $1,029 [source] 3 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley 12004 $1,029 [source] 3 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim 12004 $1,029 [source] 3 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles 12004 $1,029 [source] 3 years ago
Zion Medical Center 4647 Zion Ave, San Diego 12004 $1,029 [source] 3 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana 12004 $1,029 [source] 3 years ago
San Leandro Medical Center 2500 Merced St, San Leandro 12004 $1,265 [source] 3 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco 12004 $1,265 [source] 3 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills 12004 $1,265 [source] 3 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento 12004 $1,265 [source] 3 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch 12004 $1,265 [source] 3 years ago
Modesto Medical Center 4601 Dale Rd, Modesto 12004 $1,265 [source] 3 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville 12004 $1,265 [source] 3 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek 12004 $1,265 [source] 3 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara 12004 $1,265 [source] 3 years ago
Richmond Medical Center 901 Nevin Ave, Richmond 12004 $1,265 [source] 3 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon 12004 $1,265 [source] 3 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City 12004 $1,265 [source] 3 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo 12004 $1,265 [source] 3 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael 12004 $1,265 [source] 3 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco 12004 $1,265 [source] 3 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno 12004 $1,265 [source] 3 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville 12004 $1,265 [source] 3 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose 12004 $1,265 [source] 3 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento 12004 $1,265 [source] 3 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley 12004 $4,899 [source] 3 years ago
Lakewood Regional Medical Center 3700 East South St., Lakewood 12004 $6,035 [source] 3 years ago
Los Alamitos Medical Center 3751 Katella Ave., Los Alamitos 12004 $6,377 [source] 3 years ago
Placentia - Linda Hospital 1301 N. Rose Dr., Placentia 12004 $6,632 [source] 3 years ago
Jfk Memorial Hospital 47-111 Monroe St., Indio 12004 $8,496 [source] 3 years ago
Twin Cities Community Hospital 1100 Las Tablas Rd., Templeton 12004 $8,515 [source] 3 years ago
Doctors Hospital Of Manteca 1205 East North St., Manteca 12004 $9,269 [source] 3 years ago
Emanuel Medical Center 825 Delbon Avenue, Turlock 12004 $9,322 [source] 3 years ago
San Ramon Regional Medical Center 6001 Norris Canyon Rd., San Ramon 12004 $11,756 [source] 3 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo 12004 $13,101 [source] 3 years ago
Desert Regional Medical Center 1150 N. Indian Canyon Way, Palm Springs 12004 $14,292 [source] 3 years ago
Doctors Medical Center Of Modesto 1441 Florida Ave., Modesto 12004 $20,047 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.