CPT 12004
Wound Repair - All Levels
Current code53 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $77.00 – $128 | $110 – $183 | $110 – $183 |
| Capital Medical Center | $338 – $1,083 | — | — |
| Cascade Medical Center | $171 – $423 | $486 – $540 | $607 – $675 |
| Cascade Valley Hospital | $68.43 – $760 | $644 | $805 |
| Coulee Medical Center | — | $199 – $423 | $222 – $470 |
| Deaconess Medical Center | $298 – $805 | $321 | $802 |
| EvergreenHealth Medical Center | $112 – $1,153 | $992 | $1,240 |
| EvergreenHealth Monroe | $112 – $907 | $780 | $975 |
| Harborview Medical Center | $372 – $495 | $1,387 | $1,981 |
| Highline Medical Center | $415 – $1,110 | $377 | $1,233 |
| Island Hospital | $105 – $648 | $158 – $343 | $158 – $343 |
| Kadlec Regional Medical Center | $123 – $648 | $883 | $1,261 |
| Legacy Salmon Creek Medical Center | $447 – $7,246 | $242 | $373 |
| Mary Bridge Children's Hospital | $338 – $1,420 | — | — |
| MultiCare Auburn Medical Center | $338 – $1,111 | — | — |
| MultiCare Covington Medical Center | $338 – $1,111 | — | — |
| MultiCare Good Samaritan Hospital | $338 – $1,111 | — | — |
| MultiCare Valley Hospital | $298 – $804 | $321 | $802 |
| Olympic Medical Center | $211 – $377 | $302 | $377 |
| Overlake Hospital Medical Center & Clinics | $256 – $1,667 | $758 | $1,515 |
| PeaceHealth Peace Island Medical Center | — | $242 – $527 | $373 – $811 |
| PeaceHealth Southwest Medical Cente | $88.99 – $4,569 | $538 – $1,020 | $828 – $1,569 |
| PeaceHealth St John Medical Center | $95.43 – $1,373 | $538 – $1,767 | $828 – $2,719 |
| PeaceHealth St Joseph Medical Center | $460 | $539 – $555 | $829 – $854 |
| PeaceHealth United General Medical Center | — | $298 – $544 | $458 – $837 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $378 – $13,212 | $474 | $677 |
| Providence Centralia Hospital | $393 – $7,985 | $578 | $1,111 |
| Providence Holy Family Hospital | $268 – $3,379 | $509 | $727 |
| Providence Mount Carmel Hospital | — | $128 – $160 | $183 – $229 |
| Providence Regional Medical Center Everett | $274 – $2,704 | $361 | $694 |
| Providence St Joseph Hospital | — | $160 – $167 | $229 – $238 |
| Providence St Mary Medical Center | $177 – $6,522 | $236 – $585 | $337 – $835 |
| Providence St Peter Hospital | $196 – $2,770 | $578 | $1,111 |
| Seattle Children's Hospital | $120 – $1,080 | $1,125 | $304 – $1,125 |
| Skagit Valley Hospital | $178 – $1,066 | $178 – $898 | $223 – $1,122 |
| St Anthony Hospital | $428 – $991 | $375 | $1,233 |
| St Clare Hospital | $428 – $991 | $356 | $1,233 |
| St Elizabeth Hospital | $328 – $2,077 | $436 | $1,233 |
| St Francis Community Hospital | $420 – $991 | $387 | $1,233 |
| St Joseph Medical Center | $432 – $991 | $409 | $1,233 |
| St Michael Medical Center | $463 – $1,110 | $544 | $1,233 |
| Swedish Edmonds Hospital | $343 – $2,192 | — | — |
| Swedish Issaquah | $349 – $9,339 | $608 | $1,266 |
| Swedish Medical Center | $349 – $985 | $608 | $1,266 |
| Swedish Medical Center / Cherry Hill | $349 – $985 | $608 | $1,266 |
| Tacoma General Allenmore Hospital | $338 – $963 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $372 – $838 | $956 | $1,365 |
| Virginia Mason Medical Center | $3.88 – $4,497 | $370 | $725 |
| Wellfound Behavioral Health Hospital | $591 | — | — |
| WhidbeyHealth Medical Center | — | $419 – $2,250 | $419 – $2,250 |
| Yakima Valley Memorial | $320 – $5,793 | $456 | $1,140 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $186 in an office; $75.73 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $165 in an office; $70.88 in a hospital or surgery center
- Hospital outpatient payment (national)
- $205 (APC 5051)