CPT 12042
Wound Repair - All Levels
Current code52 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 | $458 – $730 | $659 – $698 | $824 – $873 |
| Cascade Valley Hospital | $431 – $1,397 | $1,117 | $1,396 |
| Coulee Medical Center | — | $661 – $1,729 | $734 – $1,922 |
| Deaconess Medical Center | $257 – $272 | $568 | $1,419 |
| EvergreenHealth Medical Center | — | $1,252 | $1,565 |
| EvergreenHealth Monroe | $436 | $992 | $1,240 |
| Harborview Medical Center | — | $1,812 | $2,589 |
| Highline Medical Center | — | $465 | $1,521 |
| Island Hospital | $265 – $288 | $171 – $608 | $171 – $608 |
| Kadlec Regional Medical Center | — | $674 | $963 |
| Legacy Salmon Creek Medical Center | — | $563 | $866 |
| 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 | $568 | $1,419 |
| Olympic Medical Center | $328 – $360 | $652 | $815 |
| Overlake Hospital Medical Center & Clinics | — | $586 | $1,171 |
| PeaceHealth Peace Island Medical Center | — | $694 | $1,067 |
| PeaceHealth Southwest Medical Cente | $469 | $1,996 – $2,380 | $3,070 – $3,661 |
| PeaceHealth St John Medical Center | $377 – $508 | $3,092 – $3,185 | $4,757 – $4,900 |
| PeaceHealth St Joseph Medical Center | $507 | $1,101 – $1,905 | $1,694 – $2,930 |
| PeaceHealth United General Medical Center | — | $730 | $1,123 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $702 | $1,003 |
| Providence Centralia Hospital | — | $950 | $1,827 |
| Providence Holy Family Hospital | — | $760 | $1,086 |
| Providence Mount Carmel Hospital | — | $348 – $404 | $497 – $577 |
| Providence Regional Medical Center Everett | — | $800 | $1,538 |
| Providence St Joseph Hospital | — | $321 – $404 | $458 – $577 |
| Providence St Mary Medical Center | — | $530 – $723 | $757 – $1,033 |
| Providence St Peter Hospital | — | $950 | $1,827 |
| Seattle Children's Hospital | $118 – $249 | $766 – $18,487 | $766 – $821 |
| Skagit Valley Hospital | $25.23 – $1,786 | $358 – $1,210 | $448 – $1,513 |
| St Anthony Hospital | — | $463 | $1,521 |
| St Clare Hospital | — | $438 | $1,521 |
| St Elizabeth Hospital | $259 – $315 | $538 | $1,521 |
| St Francis Community Hospital | — | $477 | $1,521 |
| St Joseph Medical Center | — | $504 | $1,521 |
| St Michael Medical Center | — | $671 | $1,521 |
| 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 | — | — |
| Three Rivers Hospital | |||
| Trios Health | — | — | $8,102 |
| University of Washington Medical Ctr | — | $800 | $1,143 |
| Virginia Mason Medical Center | — | $609 | $1,195 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $502 – $3,250 | $502 – $3,250 |
| 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)
- $354 in an office; $186 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $315 in an office; $171 in a hospital or surgery center
- Hospital outpatient payment (national)
- $415 (APC 5052)
- Surgery center payment (national)
- $205