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CPT 12016

Wound Repair - All Levels

Current code51 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$626 – $1,1604 plansDoctor’s fee: $471 – $708$901 – $1,110Doctor’s fee: $678$1,126 – $1,388Doctor’s fee: $847
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$516$1,290
EvergreenHealth Medical CenterKirkland—$1,252$1,565
EvergreenHealth MonroeMonroe$4361 plan$1,319$1,649
Harborview Medical CenterSeattleFile dated 2026-04-01—$3,103$4,432
Highline Medical CenterBurienFile dated 2026-02-28—$380$1,245
Island HospitalAnacortes$132 – $1433 plans$221 – $517$221 – $517
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,205$1,721
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$403$620
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$516$1,290
Olympic Medical CenterPort AngelesFile dated 2026-06-24$163 – $1795 plans$302$377
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,362$2,724
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$630$900
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$950$1,827
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,271$1,815
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$128 – $286$183 – $409
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$531$1,022
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$226 – $286$323 – $409
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$393 – $1,106$561 – $1,580
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$950$1,827
Seattle Children's HospitalSeattle—$1,531$1,531
St Anthony HospitalGig HarborFile dated 2026-02-28—$379$1,245
St Clare HospitalLakewoodFile dated 2026-02-28—$359$1,245
St Elizabeth HospitalEnumclawFile dated 2026-02-28$349 – $4135 plans$440$1,245
St Francis Community HospitalFederal WayFile dated 2026-02-28—$391$1,245
St Joseph Medical CenterTacomaFile dated 2026-02-28—$412$1,245
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$550$1,245
Swedish IssaquahIssaquahFile dated 2026-04-01—$670$1,396
Swedish Medical CenterSeattleFile dated 2026-04-01—$670$1,396
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$670$1,396
Three Rivers HospitalBrewsterDoctor’s fee: $596Doctor’s fee: $852Doctor’s fee: $852
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,148$1,640
Yakima Valley MemorialYakimaFile dated 2026-08-27—$672$1,681

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$304 in an office; $126 in a hospital or surgery center
Doctor's fee, rest of Washington
$272 in an office; $119 in a hospital or surgery center
Hospital outpatient payment (national)
$415 (APC 5052)
Surgery center payment (national)
$223