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
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage 12004 $92 [source] 3 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester 12004 $158 [source] 3 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens 12004 $158 [source] 3 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah 12004 $158 [source] 3 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski 12004 $160 [source] 3 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin 12004 $162 [source] 3 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg 12004 $165 [source] 3 years ago
St. Jude Children's Research Hospital , Memphis 12004 $270 [source] 3 years ago
Trousdale Medical Center 500 Church Street, Hartsville 12004 $601 [source] 3 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville 12004 $907 [source] 3 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville 12004 $1,250 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury 12004 $1,250 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville 12004 $1,250 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta 12004 $1,250 [source] 3 years ago
Ascension Saint Thomas Rutherford 1700 Medical Center Pkwy, Murfreesboro 12004 $1,408 [source] 3 years ago
Saint Francis Hospital - Memphis 5959 Park Ave., Memphis 12004 $6,089 [source] 3 years ago
Saint Francis Hospital - Bartlett 2986 Kate Bond Rd., Memphis 12004 $6,361 [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.