Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (CPT 12004)
12004 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
80 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| East Morgan County Hospital | Brush, CO | $78.47 | $156 | $211.65 | 0.4× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $83.62 | $156 | $204.98 | 0.4× |
| Washakie Medical Center | Worland, WY | $93.44 | $156 | $204.98 | 0.5× |
| Platte County Hospital | Wheatland, WY | $95.63 | $156 | $204.98 | 0.5× |
| Wray Community District Hospital | Wray, CO | $96.35 | $128.47 | $211.65 | 0.5× |
| Denver Health Medical Center | Denver, CO | $179.67 | $513.34 | $211.65 | 0.8× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $182.25 | $202.50 | $211.65 | 0.9× |
| Grand River Medical Center | Rifle, CO | $207.50 | $415 | $211.65 | 1.0× |
| Ivinson Memorial Hospital | Laramie, WY | $210 | $210 | $204.98 | 1.0× |
| Memorial Hospital of Carbon County | Rawlins, WY | $219 | $292 | $204.98 | 1.1× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $235.35 | $392.25 | $201.55 | 1.2× |
| Banner North Colorado Medical Center | Greeley, CO | $236.12 | $583 | $211.65 | 1.1× |
| Rio Grande Hospital | Del Norte, CO | $241.68 | $322.23 | $211.65 | 1.1× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $246.95 | $449 | $211.65 | 1.2× |
| San Luis Valley Health Conejos County Hospital | La Jara, CO | $246.95 | $449 | $211.65 | 1.2× |
| Rangely District Hospital | Rangely, CO | $265.43 | $408.36 | $211.65 | 1.3× |
| Foothills Hospital | Boulder, CO | $266.50 | $533 | $214 | 1.2× |
| Star Valley Medical Center | Afton, WY | $273 | $390 | $204.98 | 1.3× |
| St. John's Medical Center | Jackson, WY | $281.50 | $281.50 | $204.98 | 1.4× |
| Parkview Medical Center | Pueblo, CO | $296 | $740 | $211.65 | 1.4× |
| South Lincoln Medical Center | Kemmerer, WY | $296.48 | $395.30 | $204.98 | 1.4× |
| Family Health West Hospital | Fruita, CO | $304.50 | $435 | $211.65 | 1.4× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $305 | $305 | $204.98 | 1.5× |
| Crook County Medical Services District | Sundance, WY | $314.40 | $419.20 | $204.98 | 1.5× |
| Prowers Medical Center | Lamar, CO | $318 | $530 | $211.65 | 1.5× |
| Southwest Memorial Hospital | Cortez, CO | $321 | $642 | $211.65 | 1.5× |
| Johnson County Healthcare Center | Buffalo, WY | $327.50 | $327.50 | $204.98 | 1.6× |
| Weisbrod Memorial County Hospital | Eads, CO | $343.80 | $573 | $211.65 | 1.6× |
| Sublette County Health | Pinedale, WY | $346.95 | $385.50 | $204.98 | 1.7× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $348.30 | $774 | $211.65 | 1.6× |
| UCHealth Greeley Hospital | Greeley, CO | $349.20 | $582 | $211.65 | 1.6× |
| Memorial Hospital of Converse County | Douglas, WY | $355.96 | $624.50 | $204.98 | 1.7× |
| Parkland Memorial Hospital | Dallas, TX | $361.20 | $903 | $201.55 | 1.8× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $375.30 | $417 | $211.65 | 1.8× |
| Melissa Memorial Hospital | Holyoke, CO | $377.60 | $472 | $211.65 | 1.8× |
| Montrose Regional Health | Montrose, CO | $382.50 | $510 | $211.65 | 1.8× |
| Yuma District Hospital | Yuma, CO | $390 | $520 | $211.65 | 1.8× |
| Delta County Memorial Hospital | Delta, CO | $400.35 | $667.25 | $211.65 | 1.9× |
| Community Hospital Grand Junction | Grand Junction, CO | $400.40 | $715 | $211.65 | 1.9× |
| Vail Health Hospital | Vail, CO | $406.50 | $542 | $211.65 | 1.9× |
| Poudre Valley Hospital | Fort Collins, CO | $407.40 | $582 | $211.65 | 1.9× |
| Medical Center of the Rockies | Loveland, CO | $407.40 | $582 | $211.65 | 1.9× |
| Campbell County Health | Gillette, WY | $418.05 | $464.50 | $204.98 | 2.0× |
| Regional West Medical Center | Scottsbluff, NE | $444 | $740 | $208.34 | 2.1× |
| Southeast Colorado Hospital | Springfield, CO | $453 | $566 | $211.65 | 2.1× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $463 | $463 | $211.65 | 2.2× |
| Gunnison Valley Hospital | Gunnison, CO | $478.55 | $563 | $211.65 | 2.3× |
| Cody Regional Health | Cody, WY | $506.60 | $596 | $204.98 | 2.5× |
| Aspen Valley Hospital | Aspen, CO | $521 | $521 | $211.65 | 2.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $525.60 | $1,752 | $211.65 | 2.5× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $526.91 | $878.18 | $201.55 | 2.6× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $528 | $528 | $204.98 | 2.6× |
| Sheridan Memorial Hospital | Sheridan, WY | $541.60 | $677 | $204.98 | 2.6× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $544.80 | $681 | $211.65 | 2.6× |
| Niobrara County Hospital District | Lusk, WY | $585.60 | $732 | $204.98 | 2.9× |
| Estes Park Medical Center | Estes Park, CO | $601.88 | $802.50 | $211.65 | 2.8× |
| Lincoln Health Hospital | Hugo, CO | $602 | $602 | $211.65 | 2.8× |
| Longs Peak Hospital | Longmont, CO | $613.20 | $1,752 | $214 | 2.9× |
| UCHealth Broomfield Hospital | Broomfield, CO | $613.20 | $1,752 | $211.65 | 2.9× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $613.20 | $1,752 | $211.65 | 2.9× |
| Animas Surgical Hospital | Durango, CO | $633.50 | $633.50 | $211.65 | 3.0× |
| Powell Valley Healthcare | Powell, WY | $645.66 | $759.60 | $204.98 | 3.1× |
| Valley View Hospital | Glenwood Springs, CO | $652.38 | $767.50 | $211.65 | 3.1× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $674.90 | $794 | $211.65 | 3.2× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $675 | $675 | $211.65 | 3.2× |
| UCHealth University of Colorado Hospital | Aurora, CO | $693.35 | $1,981 | $211.65 | 3.3× |
| St. Elizabeth Hospital | Fort Morgan, CO | $802.19 | $2,005.47 | $211.65 | 3.8× |
| AdventHealth Porter | Denver, CO | $918.87 | $918.87 | $211.65 | 4.3× |
| AdventHealth Avista | Louisville, CO | $918.87 | $918.87 | $214 | 4.3× |
| AdventHealth Littleton | Littleton, CO | $918.87 | $918.87 | $211.65 | 4.3× |
| AdventHealth Parker | Parker, CO | $918.87 | $918.87 | $211.65 | 4.3× |
| AdventHealth Castle Rock | Castle Rock, CO | $918.87 | $918.87 | $211.65 | 4.3× |
| Weston County Health Services | Newcastle, WY | $978 | $978 | $204.98 | 4.8× |
| Middle Park Medical Center | Kremmling, CO | $1,159.01 | $1,448.76 | $211.65 | 5.5× |
| North Big Horn Hospital District | Lovell, WY | — | $159 | $204.98 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $593.65 | $211.65 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $1,168.05 | $211.65 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $1,179.30 | $211.65 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $1,179.30 | $211.65 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $1,179.30 | $214 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.