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
Hawaii
Hospital Address Code Price Last Updated
Hilo Medical Center 1190 Waianuenue Ave, Hilo 12004 $207 [source] 3 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua 12004 $207 [source] 3 years ago
Hale Ho'ola Hamakua 100 Keokea Pl, Kula 12004 $241 [source] 3 years ago
Molokai General Hospital 280 Homeolu Place, Kaunakakai 12004 $462 [source] 3 years ago
Kaiser Permanente 3288 Moanalua Rd, Honolulu 12004 $537 [source] 3 years ago
Maui Memorial Medical Center 221 Mahalani St, Wailuku 12004 $704 [source] 3 years ago
Kula Hospital 628 Seventh Street, Lanai City 12004 $704 [source] 3 years ago
North Hawaii Community Hospital 67-1125 Mamalahoa Hwy, Kamuela 12004 $18,022 [source] 3 years ago
The Queen's Medical Center - West O'ahu 1301 Punchbowl St, Honolulu 12004 $18,022 [source] 3 years ago
The Queen's Medical Center 4800 Kawaihau Rd, Kapaa 12004 $18,022 [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.