CPT 12031 at Skyline Hospital

Wound Repair - All Levels

Skyline Hospital, White Salmon

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 Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for CPT 12031, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$724 – $8002 plans	$51.00 – $288
Medicare AdvantageInsurer rates	$4013 plans	$135 – $548
Medicaid managed careInsurer rates	$545 – $5723 plans	$89.16 – $163
Other government programInsurer rates	$2291 plan	$135
UnknownInsurer rates	$545 – $8526 plans	$51.00 – $288
Cash pricePaying yourself, without insurance	$613	$526 – $564
List priceBefore any discount; few people pay it	$852	$731 – $783

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 12031 at Skyline Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 10 days	$135	$160 – $243
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 12031 at every Washington hospital, with Medicare’s reference amounts.