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Simple Wound Stitching, Medium Length

West Virginia 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?

$669

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $669 for this procedure. That total is two separate charges: $132 to the doctor who performs it, and $537 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$132$81.28 to $162
Facility feeThe hospital or surgery center$537$269 to $708

How much rates vary

Facilitymedian $537 · 10th to 90th $123 to $776Professionalmedian $132 · 10th to 90th $69 to $178
$100$200$500$1Kfacility $537professional $132

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
$123.03
Median
$537.03
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$1,096.48
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$562.34
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$245.47

Where West Virginia 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

West Virginia· 28th of 51

$669

$132 physician + $537 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.