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
Indiana
Hospital Address Code Price Last Updated
Scott Memorial Health 1451 N. Gardner P.o. Box 430, Scottsburg 12004 $132 [source] 3 years ago
Iu Health University Hospital 550 N University Blvd, Indianapolis 12004 $176 [source] 3 years ago
Iu Health Neuroscience Center 362 W 15Th St, Indianapolis 12004 $176 [source] 3 years ago
Iu Health Saxony Hospital 13000 E 136Th St, 12004 $176 [source] 3 years ago
Iu Health Methodist Hospital 1701 N Senate Blvd, Indianapolis 12004 $176 [source] 3 years ago
Iu Health Morgan 2209 John R Wooden Dr, Martinsville 12004 $176 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport 12004 $723 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis 12004 $723 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson 12004 $723 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel 12004 $723 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester 12004 $723 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford 12004 $723 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood 12004 $723 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem 12004 $723 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville 12004 $723 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon 12004 $723 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis 12004 $723 [source] 3 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville 12004 $723 [source] 3 years ago
Clark Memorial Health 1220 Missouri Avenue, Jeffersonville 12004 $938 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil 12004 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, 12004 $6,012 [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.