CPT 12021
Wound Repair - All Levels
Current code42 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $461 – $507 | — | — |
| Cascade Medical Center | $136 – $203 | $194 | $243 |
| Cascade Valley Hospital | $400 – $420 | $538 | $673 |
| Deaconess Medical Center | $444 – $488 | — | — |
| Harborview Medical Center | $471 – $518 | $682 | $974 |
| Highline Medical Center | $445 – $511 | $229 | $751 |
| Island Hospital | $485 – $514 | $475 | $475 |
| Kadlec Regional Medical Center | $453 – $544 | $622 | $888 |
| Legacy Salmon Creek Medical Center | $467 – $507 | $322 | $496 |
| Mary Bridge Children's Hospital | $465 – $511 | — | — |
| MultiCare Auburn Medical Center | $463 – $509 | — | — |
| MultiCare Covington Medical Center | $463 – $509 | — | — |
| MultiCare Good Samaritan Hospital | $465 – $511 | — | — |
| MultiCare Valley Hospital | $457 – $488 | — | — |
| Olympic Medical Center | $509 – $655 | $883 | $1,104 |
| Overlake Hospital Medical Center & Clinics | $472 – $491 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $453 – $544 | $702 | $1,003 |
| Providence Centralia Hospital | $471 – $753 | $862 | $1,657 |
| Providence Holy Family Hospital | $453 – $498 | $645 | $922 |
| Providence Mount Carmel Hospital | — | $251 – $348 | $359 – $497 |
| Providence Regional Medical Center Everett | $463 – $509 | $1,307 | $2,514 |
| Providence St Joseph Hospital | — | $291 – $298 | $416 – $426 |
| Providence St Mary Medical Center | $453 – $498 | $313 – $503 | $447 – $719 |
| Providence St Peter Hospital | $468 – $748 | $862 | $1,657 |
| Seattle Children's Hospital | — | $1,122 | $1,122 |
| Skagit Valley Hospital | $400 – $420 | $367 – $549 | $459 – $686 |
| St Anthony Hospital | $453 – $521 | $229 | $751 |
| St Clare Hospital | $453 – $521 | $217 | $751 |
| St Elizabeth Hospital | $135 – $165 | $266 | $751 |
| St Francis Community Hospital | $445 – $511 | $236 | $751 |
| St Joseph Medical Center | $453 – $521 | $249 | $751 |
| St Michael Medical Center | $466 – $503 | $332 | $751 |
| Swedish Edmonds Hospital | $463 – $556 | — | — |
| Swedish Issaquah | $472 – $566 | $1,035 | $2,157 |
| Swedish Medical Center | $471 – $565 | $1,035 | $2,157 |
| Swedish Medical Center / Cherry Hill | $471 – $565 | $1,035 | $2,157 |
| Tacoma General Allenmore Hospital | $465 – $511 | — | — |
| University of Washington Medical Ctr | $471 – $518 | $682 | $974 |
| Virginia Mason Medical Center | $153 – $3,153 | $580 | $1,138 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $431 – $956 | $431 – $956 |
| Yakima Valley Memorial | $475 – $533 | $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