Code: 12047

Description:
HC LYR CLSR N/H/F/XTRNL GENT > 30.0 CM
Other Descriptions:
LCW INTER N/H/F >30CM
RPR INTRM WOUND NHFG >30CM
Intmd rpr n-hf/genit >30.0cm
INTRM.RPR > 30CM NK/H/F/G
REPAIR INT B +AD4-30CM PF
Intmd rpr n+AC0-hf/genit +AD4-30.0cm
Related codes:
Code: 12041
PRO-LAYER CLOS WOUND
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
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12047 $187 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12047 $1,011 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12047 $1,335 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 12047 $1,634 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12047 $1,669 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 12047 $1,903 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 12047 $1,903 [source] 3 years ago
River Falls Area Hospital , River Falls 12047 $2,143 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12047 $2,183 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12047 $2,279 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12047 $2,910 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12047 $2,910 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12047 $2,910 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12047 $2,910 [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.