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Simple Wound Closure, Larger Area

Pennsylvania rates for HCPCS 12005

This is a straightforward stitched closure of a longer surface wound on the scalp, neck, trunk, arms, or legs, involving only the skin's outer layers without deeper tissue repair. It applies to wounds too long for the smallest simple closures but not requiring the more extensive layered repair used for larger or more complex injuries.

Rates data updated July 2026.

How much does Simple Wound Closure, Larger Area cost?

$1,853

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

Insurers have agreed to pay about $1,853 for this procedure. That total is two separate charges: $155 to the doctor who performs it, and $1,698 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$155$107 to $234
Facility feeThe hospital or surgery center$1,698$776 to $4,571

How much rates vary

Facilitymedian $1,698 · 10th to 90th $162 to $7,244Professionalmedian $155 · 10th to 90th $85 to $398
$100$200$500$1K$2K$5Kfacility $1,698professional $155

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
$162.18
Median
$2,187.76
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$407.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$281.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$354.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$3,090.30
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$162.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,584.89
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$269.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$912.01
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$302.00

Where Pennsylvania sits

The same service costs 19.4 times more in California than in Delaware. 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

Pennsylvania· 18th of 51

$1,853

$155 physician + $1,698 facility

CA $5,677DE $293

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.