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Simple Wound Stitching, Medium Length

New Jersey 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?

$3,211

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $3,211 for this procedure. That total is two separate charges: $120 to the doctor who performs it, and $3,090 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$120$79.43 to $178
Facility feeThe hospital or surgery center$3,090$1,445 to $5,888

How much rates vary

Facilitymedian $3,090 · 10th to 90th $229 to $9,333Professionalmedian $120 · 10th to 90th $65 to $447
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $120

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
$229.09
Median
$3,019.95
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$741.31
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,168.69
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$144.54
Typical High
$263.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$263.03
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,000.00
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$100.00
Typical High
$218.78

Where New Jersey 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

New Jersey· 3rd of 51

$3,211

$120 physician + $3,090 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.