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
Massachusetts
Hospital Address Code Price Last Updated
Nantucket Cottage Hospital 57 Prospect St, Nantucket 12004 $371 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston 12004 $466 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich 12004 $466 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton 12004 $466 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem 12004 $466 [source] 3 years ago
Mclean Hospital 115 Mill St, Belmont 12004 $466 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain 12004 $466 [source] 3 years ago
Massachusetts Eye And Ear 243 Charles St, Boston 12004 $466 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls 12004 $466 [source] 3 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs 12004 $553 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown 12004 $554 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston 12004 $789 [source] 3 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge 12004 $789 [source] 3 years ago
Saint Vincent Hospital 123 Summer St., Worcester 12004 $4,092 [source] 3 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham 12004 $4,714 [source] 3 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick 12004 $4,714 [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.