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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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$469 – $1,0127 plansDoctor’s fee: $223 – $1,042$672 – $968Doctor’s fee: $997$840 – $1,210Doctor’s fee: $1,246
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$590$1,476
EvergreenHealth Medical CenterKirkland$445 – $4535 plans$1,648$2,060
EvergreenHealth MonroeMonroe$436 – $4455 plans$1,204$1,505
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,454$2,077
Highline Medical CenterBurienFile dated 2026-02-28—$401$1,312
Island HospitalAnacortes$485 – $51411 plans$398 – $557$398 – $557
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$902$1,289
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$242 – $693Doctor’s fee: $450 – $693$373 – $1,066Doctor’s fee: $693 – $1,066
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$590$1,476
Olympic Medical CenterPort AngelesFile dated 2026-06-24$509 – $6555 plans$652$815
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,542$3,083
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$702$1,003
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,042$2,004
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$760$1,086
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$385 – $461$550 – $659
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$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—$680 – $831$971 – $1,187
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,042$2,004
Seattle Children's HospitalSeattle—$1,429$922 – $1,429
St Anthony HospitalGig HarborFile dated 2026-02-28—$399$1,312
St Clare HospitalLakewoodFile dated 2026-02-28—$378$1,312
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$464$1,312
St Francis Community HospitalFederal WayFile dated 2026-02-28—$412$1,312
St Joseph Medical CenterTacomaFile dated 2026-02-28—$434$1,312
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$579$1,312
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,035$2,157
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,035$2,157
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,035$2,157
Three Rivers HospitalBrewster—Doctor’s fee: $1,152 – $1,451Doctor’s fee: $1,152 – $1,451
Trios HealthKennewick$4261 plan—$15,771
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,014$1,448
Virginia Mason Medical CenterSeattle—$677$1,327
Yakima Valley MemorialYakimaFile dated 2026-08-27—$479$1,198

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)