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Simple Wound Stitching, Medium Length

Iowa 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?

$802

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

Insurers have agreed to pay about $802 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $603 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$200$129 to $407
Facility feeThe hospital or surgery center$603$251 to $2,512

How much rates vary

Facilitymedian $603 · 10th to 90th $148 to $5,495Professionalmedian $200 · 10th to 90th $78 to $741
$100$200$500$1K$2K$5K$10Kfacility $603professional $200

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
$147.91
Median
$676.08
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$199.53
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$162.18
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$302.00
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$630.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$165.96
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$323.59

Where Iowa 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

Iowa· 23rd of 51

$802

$200 physician + $603 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.