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Simple Wound Stitching, Medium Length

Florida rates for HCPCS 12004

Basic stitched closure of a cut or wound on the scalp, neck, trunk, arms, legs, or genital area that goes through the outer layers of skin but doesn't involve deeper tissue repair. This covers a wound whose total length falls in a medium range, roughly 3 to 5 inches.

Rates data updated July 2026.

How much does Simple Wound Stitching, Medium Length cost?

$1,342

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

Insurers have agreed to pay about $1,342 for this procedure. That total is two separate charges: $112 to the doctor who performs it, and $1,230 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$112$79.43 to $148
Facility feeThe hospital or surgery center$1,230$427 to $3,236

How much rates vary

Facilitymedian $1,230 · 10th to 90th $191 to $7,244Professionalmedian $112 · 10th to 90th $63 to $209
$100$200$500$1K$2K$5K$10Kfacility $1,230professional $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
$158.49
Median
$1,000.00
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$302.00
AvMed
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$4,265.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$208.93
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$4,365.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$83.18
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,318.26
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$218.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$173.78

Where Florida sits

The same service costs 22.1 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

Florida· 12th of 51

$1,342

$112 physician + $1,230 facility

CA $5,160MD $234

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.