CPT 12021
Wound Repair - All Levels
Current code42 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $281 – $416 | — | — |
| Cascade Medical Center | $135 – $203 | $194 | $243 |
| Cascade Valley Hospital | $431 – $673 | $538 | $673 |
| Deaconess Medical Center | $257 – $272 | — | — |
| Harborview Medical Center | — | $682 | $974 |
| Highline Medical Center | — | $229 | $751 |
| Island Hospital | $265 – $288 | $475 | $475 |
| Kadlec Regional Medical Center | — | $622 | $888 |
| Legacy Salmon Creek Medical Center | — | $322 | $496 |
| Mary Bridge Children's Hospital | $266 – $287 | — | — |
| MultiCare Auburn Medical Center | $261 – $282 | — | — |
| MultiCare Covington Medical Center | $261 – $282 | — | — |
| MultiCare Good Samaritan Hospital | $267 – $288 | — | — |
| MultiCare Valley Hospital | $255 – $270 | — | — |
| Olympic Medical Center | $328 – $360 | $883 | $1,104 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $702 | $1,003 |
| Providence Centralia Hospital | — | $862 | $1,657 |
| Providence Holy Family Hospital | — | $645 | $922 |
| Providence Mount Carmel Hospital | — | $251 – $348 | $359 – $497 |
| Providence Regional Medical Center Everett | — | $1,307 | $2,514 |
| Providence St Joseph Hospital | — | $291 – $298 | $416 – $426 |
| Providence St Mary Medical Center | — | $313 – $503 | $447 – $719 |
| Providence St Peter Hospital | — | $862 | $1,657 |
| Seattle Children's Hospital | — | $1,122 | $1,122 |
| Skagit Valley Hospital | $171 | $367 – $549 | $459 – $686 |
| St Anthony Hospital | — | $229 | $751 |
| St Clare Hospital | — | $217 | $751 |
| St Elizabeth Hospital | $128 – $156 | $266 | $751 |
| St Francis Community Hospital | — | $236 | $751 |
| St Joseph Medical Center | — | $249 | $751 |
| St Michael Medical Center | — | $332 | $751 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $1,035 | $2,157 |
| Swedish Medical Center | — | $1,035 | $2,157 |
| Swedish Medical Center / Cherry Hill | — | $1,035 | $2,157 |
| Tacoma General Allenmore Hospital | $267 – $288 | — | — |
| University of Washington Medical Ctr | — | $682 | $974 |
| Virginia Mason Medical Center | — | $580 | $1,138 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $431 – $956 | $431 – $956 |
| Yakima Valley Memorial | $255 – $296 | $439 | $1,098 |
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)
- $212 in an office; $150 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $190 in an office; $136 in a hospital or surgery center
- Hospital outpatient payment (national)
- $415 (APC 5052)
- Surgery center payment (national)
- $223