CPT 12054
Wound Repair - All Levels
Current code52 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 | $469 – $1,012 | $672 – $968 | $840 – $1,210 |
| Cascade Valley Hospital | $400 – $420 | $1,255 | $1,569 |
| Coulee Medical Center | — | $1,516 | $1,684 |
| Deaconess Medical Center | $444 – $488 | $590 | $1,476 |
| EvergreenHealth Medical Center | $445 – $453 | $1,648 | $2,060 |
| EvergreenHealth Monroe | $436 – $445 | $1,204 | $1,505 |
| Harborview Medical Center | $471 – $518 | $1,454 | $2,077 |
| Highline Medical Center | $445 – $511 | $401 | $1,312 |
| Island Hospital | $485 – $514 | $398 – $557 | $398 – $557 |
| Kadlec Regional Medical Center | $453 – $544 | $902 | $1,289 |
| Legacy Salmon Creek Medical Center | $467 – $507 | $242 – $693 | $373 – $1,066 |
| 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 | $590 | $1,476 |
| Olympic Medical Center | $509 – $655 | $652 | $815 |
| Overlake Hospital Medical Center & Clinics | $472 – $491 | $1,542 | $3,083 |
| PeaceHealth Peace Island Medical Center | — | $920 | $1,416 |
| PeaceHealth Southwest Medical Cente | $451 – $518 | $1,122 – $1,156 | $1,726 – $1,778 |
| PeaceHealth St John Medical Center | $377 – $532 | $1,027 | $1,580 |
| PeaceHealth St Joseph Medical Center | $483 – $531 | $1,163 – $1,198 | $1,789 – $1,843 |
| PeaceHealth United General Medical Center | — | $969 | $1,491 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $453 – $544 | $702 | $1,003 |
| Providence Centralia Hospital | $471 – $753 | $1,042 | $2,004 |
| Providence Holy Family Hospital | $453 – $498 | $760 | $1,086 |
| Providence Mount Carmel Hospital | — | $385 – $461 | $550 – $659 |
| Providence Regional Medical Center Everett | $463 – $509 | $800 | $1,538 |
| Providence St Joseph Hospital | — | $305 – $461 | $436 – $659 |
| Providence St Mary Medical Center | $453 – $498 | $680 – $831 | $971 – $1,187 |
| Providence St Peter Hospital | $468 – $748 | $1,042 | $2,004 |
| Seattle Children's Hospital | — | $1,429 | $922 – $1,429 |
| Skagit Valley Hospital | $400 – $420 | $358 – $1,694 | $448 – $2,118 |
| St Anthony Hospital | $453 – $521 | $399 | $1,312 |
| St Clare Hospital | $453 – $521 | $378 | $1,312 |
| St Elizabeth Hospital | $236 – $289 | $464 | $1,312 |
| St Francis Community Hospital | $445 – $511 | $412 | $1,312 |
| St Joseph Medical Center | $453 – $521 | $434 | $1,312 |
| St Michael Medical Center | $466 – $503 | $579 | $1,312 |
| 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 | — | — |
| Three Rivers Hospital | — | ||
| Trios Health | $426 | — | $15,771 |
| University of Washington Medical Ctr | $471 – $518 | $1,014 | $1,448 |
| Virginia Mason Medical Center | $236 – $2,319 | $677 | $1,327 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $762 – $1,020 | $762 – $1,020 |
| Yakima Valley Memorial | $475 – $533 | $479 | $1,198 |
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)