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
Ohio
Hospital Address Code Price Last Updated
Medina Hospital 1000 E. Washington St., Medina 12004 $414 [source] 3 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi 12004 $600 [source] 3 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland 12004 $661 [source] 3 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland 12004 $687 [source] 3 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland 12004 $687 [source] 3 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland 12004 $687 [source] 3 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland 12004 $687 [source] 3 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland 12004 $687 [source] 3 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland 12004 $687 [source] 3 years ago
Akron General 1 Akron General Ave., Akron 12004 $709 [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.