Price Checker / CPT 12004
How much does Rpr S/n/ax/gen/trk7.6-12.5cm cost?
CPT 12004 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2x the fair price. You have grounds to ask for a reduction.
Fair price
$350–$410
What this should cost
With insurance
~$2,000
Typical out-of-pocket
Overcharged if over
$510
Push back above this
The average hospital charge of $748 is $368 over the fair price (about 2x the fair rate).
What hospitals charge for Rpr S/n/ax/gen/trk7.6-12.5cm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Edgerton Hospital and Health Services EDGERTON, WI | $965 | $704 | 496% |
| EHHS Milton Clinic , WI | $965 | $704 | 496% |
| Washington County Hospital and Nursing Home Chatom, AL | $300 | — | 456% |
| EHHS Milton Clinic Medicare , WI | $761 | $556 | 370% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Rpr S/n/ax/gen/trk7.6-12.5cm
CPT code 12004 refers to rpr s/n/ax/gen/trk7.6-12.5cm (billing description: "Rpr s/n/ax/gen/trk7.6-12.5cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $72 in a facility (hospital or surgery center) and $162 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.