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Simple Wound Stitching, Medium Length

Ohio 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?

$932

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

Insurers have agreed to pay about $932 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $794 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$138$102 to $200
Facility feeThe hospital or surgery center$794$240 to $2,754

How much rates vary

Facilitymedian $794 · 10th to 90th $115 to $8,913Professionalmedian $138 · 10th to 90th $65 to $309
$100$200$500$1K$2K$5K$10Kfacility $794professional $138

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
$107.15
Median
$758.58
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$123.03
Typical High
$1,949.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$239.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$43.65
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$707.95
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$208.93

Where Ohio 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

Ohio· 17th of 51

$932

$138 physician + $794 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.