go back

Simple Wound Stitching, Medium Length

South Dakota 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?

$657

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $657 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $457 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$112 to $316
Facility feeThe hospital or surgery center$457$234 to $513

How much rates vary

Facilitymedian $457 · 10th to 90th $126 to $776Professionalmedian $200 · 10th to 90th $68 to $468
$100$200$500$1K$2K$5Kfacility $457professional $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
$125.89
Median
$457.09
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$177.83
Typical High
$467.74
Avera
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$141.25
Avera
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$251.19
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$371.54

Where South Dakota 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

South Dakota· 29th of 51

$657

$200 physician + $457 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.