Code: 12041

Description:
HC LYR CLSR N/H/F/XTRNL GENT 2.5 CM/<
Other Descriptions:
HC LYR CLSR N/H/F/XTRNL GENT 2.5 CM/<
LCW INTER N/H/F <2.5CM
WOUND LAYER HAND 0.0-2.5CM
HC LCW INTER N/H/F <2.5CM
PC WOUND LAYER HAND 0.0-2.5CM
INTMD WND REPAIR N-HF/GENIT =< 2.5 CM PC
INTMD WND REPAIR N-HF/GENIT = <2.5 CM
INTRM.RPR.<2.5CM NK/H/F/G
INTMD WND REPAIR N-HF/GENIT +<2.5 CM
Related codes:
Code: 12042
HC LYR CLSR N/H/F/XTRNL GENT 2.6 CM-7.5 CM
Code: 12044
HC LYR CLSR N/H/F/XTRNL GENT 7.6 CM-12.5 CM
Code: 12045
HC LYR CLSR N/H/F/XTRNL GENT 12.6 CM-20.0 CM
Code: 12046
HC LYR CLSR N/H/F/XTRNL GENT 20.1 CM-30.0 CM
Code: 12047
HC LYR CLSR N/H/F/XTRNL GENT > 30.0 CM
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12041 $100 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 12041 $284 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12041 $451 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 12041 $507 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 12041 $529 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 12041 $586 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12041 $593 [source] 3 years ago
River Falls Area Hospital , River Falls 12041 $634 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 12041 $644 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12041 $762 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 12041 $868 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 12041 $868 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 12041 $868 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 12041 $885 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12041 $949 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 12041 $1,084 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12041 $1,093 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12041 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12041 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12041 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12041 $1,265 [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.