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Simple Stitched Repair, Small Wound

Montana rates for HCPCS 12001

A cut or wound on the trunk, arms, legs, scalp, neck, or a similar area is cleaned and closed with a single layer of stitches. This is the smallest size tier used for this type of simple, single-layer repair.

Rates data updated July 2026.

How much does Simple Stitched Repair, Small Wound cost?

$298

Typical total for the visit. In Montana, July 2026.

Insurers have agreed to pay about $298 for this procedure. That total is two separate charges: $112 to the doctor who performs it, and $186 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$112$70.79 to $166
Facility feeThe hospital or surgery center$186$91.20 to $407

How much rates vary

Facilitymedian $186 · 10th to 90th $78 to $562Professionalmedian $112 · 10th to 90th $46 to $263
$100$1K$10Kfacility $186professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$112.20
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$151.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$177.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$213.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$177.83

Where Montana sits

The same service costs 20.5 times more in California than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Montana· 50th of 51

$298

$112 physician + $186 facility

CA $4,404MD $215

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.