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Simple Wound Stitching, Medium Length

Michigan 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?

$410

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

Insurers have agreed to pay about $410 for this procedure. That total is two separate charges: $115 to the doctor who performs it, and $295 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$115$87.10 to $162
Facility feeThe hospital or surgery center$295$151 to $407

How much rates vary

Facilitymedian $295 · 10th to 90th $93 to $2,042Professionalmedian $115 · 10th to 90th $71 to $229
$50$100$200$500$1K$2K$5Kfacility $295professional $115

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
$93.33
Median
$295.12
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$112.20
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$125.89
Typical High
$346.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$213.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$645.65
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$218.78

Where Michigan 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

Michigan· 44th of 51

$410

$115 physician + $295 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.