Price Checker / CPT 12001

How much does Simple stitches/wound repair cost?

CPT 12001 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 16x the fair price — among the most extreme markups. Dispute this.

Fair price

$530–$620

What this should cost

With insurance

~$2,000

Typical out-of-pocket

Overcharged if over

$780

Push back above this

The average hospital charge of $9,290 is $8,710 over the fair price (about 16x the fair rate).

What hospitals charge for Simple stitches/wound repair

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Franciscan Health Munster

MUNSTER, IN

$36,063$9,62931562%
Parkland Health Center

FARMINGTON, MO

$19,917$11,95017387%
Missouri Baptist Sullivan Hospital

SULLIVAN, MO

$19,872$11,92317347%
Baptist Health-Fort Smith

FORT SMITH, AR

$9,072$2,2687865%
Baptist Health Medical Center-Conway

CONWAY, AR

$9,072$2,2687865%
Baptist Health Medical Center-Drew County

MONTICELLO, AR

$9,072$2,2687865%
Baptist Health Medical Center-Hot Spring County

, AR

$9,072$2,2687865%
Baptist Health Medical Center-Little Rock

LITTLE ROCK, AR

$9,072$2,2687865%
Baptist Health Medical Center-North Little Rock

NORTH LITTLE ROCK, AR

$9,072$2,2687865%
Baptist Health Medical Center-Stuttgart

STUTTGART, AR

$9,072$2,2687865%
Baptist Health-Van Buren

VAN BUREN, AR

$9,072$2,2687865%
UPMC Hamot

ERIE, PA

5750%
John George Psychiatric Hospital

San Leandro, CA

$4132759%
Edgerton Hospital and Health Services

EDGERTON, WI

$765$558572%
EHHS Milton Clinic

, WI

$765$558572%

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About Simple stitches/wound repair

CPT code 12001 refers to simple stitches/wound repair (billing description: "Rpr s/n/ax/gen/trnk 2.5cm/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $44 in a facility (hospital or surgery center) and $114 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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