CPT 12054

Wound Repair - All Levels

Current code52 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 12054 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$699 – $2,10317 plans——
Cascade Medical CenterLeavenworth$497 – $7592 plansDoctor’s fee: $497 – $781$672 – $968Doctor’s fee: $997$840 – $1,210Doctor’s fee: $1,246
Cascade Valley HospitalArlington$133 – $1,51311 plans$1,255$1,569
Coulee Medical CenterGrand Coulee—$1,516$1,684
Deaconess Medical CenterSpokaneFile dated 2026-08-27$548 – $1,66416 plans$590$1,476
EvergreenHealth Medical CenterKirkland$345 – $1,91627 plans$1,648$2,060
EvergreenHealth MonroeMonroe$345 – $1,40017 plans$1,204$1,505
Harborview Medical CenterSeattleFile dated 2026-04-01$753 – $1,0023 plans$1,454$2,077
Highline Medical CenterBurienFile dated 2026-02-28$415 – $5,92017 plans$401$1,312
Island HospitalAnacortes$264 – $873at least 15 plans$398 – $557$398 – $557
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$368 – $10,0139 plans$902$1,289
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$901 – $7,56910 plans$242 – $693Doctor’s fee: $450 – $693$373 – $1,066Doctor’s fee: $693 – $1,066
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$699 – $2,9349 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$699 – $2,03217 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$699 – $2,03217 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$699 – $2,03212 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$548 – $1,66016 plans$590$1,476
Olympic Medical CenterPort AngelesFile dated 2026-06-24$456 – $8156 plans$652$815
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$519 – $4,73614 plans$1,542$3,083
PeaceHealth Peace Island Medical CenterFriday Harbor—$920$1,416
PeaceHealth Southwest Medical CenteVancouver$180 – $3,9436 plans$1,122 – $1,156$1,726 – $1,778
PeaceHealth St John Medical CenterLongview$193 – $2,7813 plans$1,027$1,580
PeaceHealth St Joseph Medical CenterBellingham$9311 plan$1,163 – $1,198$1,789 – $1,843
PeaceHealth United General Medical CenterSedro Woolley—$969$1,491
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$766 – $16,50813 plans$702$1,003
Providence Centralia HospitalCentraliaFile dated 2026-04-01$796 – $9,57510 plans$1,042$2,004
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$544 – $6,46214 plans$760$1,086
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$385 – $461$550 – $659
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$556 – $8,84614 plans$800$1,538
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$305 – $461$436 – $659
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$353 – $13,8098 plans$680 – $831$971 – $1,187
Providence St Peter HospitalOlympiaFile dated 2026-04-01$397 – $6,26011 plans$1,042$2,004
Seattle Children's HospitalSeattle$343 – $1,371152 plans$1,429$922 – $1,429
Skagit Valley HospitalMount Vernon$357 – $2,01211 plans$358 – $1,694$448 – $2,118
St Anthony HospitalGig HarborFile dated 2026-02-28$454 – $5,92018 plans$399$1,312
St Clare HospitalLakewoodFile dated 2026-02-28$454 – $5,92018 plans$378$1,312
St Elizabeth HospitalEnumclawFile dated 2026-02-28$328 – $5,92015 plans$464$1,312
St Francis Community HospitalFederal WayFile dated 2026-02-28$454 – $5,92018 plans$412$1,312
St Joseph Medical CenterTacomaFile dated 2026-02-28$454 – $5,92018 plans$434$1,312
St Michael Medical CenterSilverdaleFile dated 2026-02-28$839 – $1,75818 plans$579$1,312
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$694 – $7,27716 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$708 – $10,40316 plans$1,035$2,157
Swedish Medical CenterSeattleFile dated 2026-04-01$706 – $7,27723 plans$1,035$2,157
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$706 – $7,27717 plans$1,035$2,157
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$699 – $1,95117 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $1,152 – $1,451Doctor’s fee: $1,152 – $1,451
Trios HealthKennewick——$15,771
University of Washington Medical CtrSeattleFile dated 2026-04-01$753 – $1,66911 plans$1,014$1,448
Virginia Mason Medical CenterSeattle$11.49 – $8,50010 plans$677$1,327
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,1971 plan——
WhidbeyHealth Medical CenterCoupeville—$762 – $1,020$762 – $1,020
Yakima Valley MemorialYakimaFile dated 2026-08-27$585 – $5,79319 plans$479$1,198

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$453 in an office; $215 in a hospital or surgery center
Doctor's fee, rest of Washington
$403 in an office; $198 in a hospital or surgery center
Hospital outpatient payment (national)
$415 (APC 5052)
Surgery center payment (national)
$223

How hospitals also write this code

Some price files write it differently. These are counted as CPT 12054:

  • 12054P (with a letter after it, P; 6 price lines)
  • 12054T (with a letter after it, T; 3 price lines)