Price Checker / CPT 12005
How much does Rpr S/n/a/gen/trk12.6-20.0cm cost?
CPT 12005 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 13x the fair price — among the most extreme markups. Dispute this.
Fair price
$500–$590
What this should cost
With insurance
~$2,050
Typical out-of-pocket
Overcharged if over
$740
Push back above this
The average hospital charge of $7,308 is $6,758 over the fair price (about 13x the fair rate).
What hospitals charge for Rpr S/n/a/gen/trk12.6-20.0cm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| CHRISTUS Louisiana Surgical Hospital , LA | — | $565 | 21028% |
| Big Sandy Medical Center Big Sandy, MT | $1,725 | — | 709% |
| Washington County Hospital and Nursing Home Chatom, AL | $500 | — | 611% |
| Kearny County Hospital Lakin, KS | $1,500 | — | 575% |
| Edgerton Hospital and Health Services EDGERTON, WI | $1,033 | $754 | 389% |
| EHHS Milton Clinic , WI | $1,033 | $754 | 389% |
| EHHS Milton Clinic Medicare , WI | $769 | $561 | 264% |
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/a/gen/trk12.6-20.0cm
CPT code 12005 refers to rpr s/n/a/gen/trk12.6-20.0cm (billing description: "Rpr s/n/a/gen/trk12.6-20.0cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $90 in a facility (hospital or surgery center) and $211 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.