How Much Does Simple Wound Repair (2.6-7.5 cm) Cost?
Also known as: Rpr s/n/ax/gen/trnk2.6-7.5cm (CPT 12002)
Simple repair (stitches) of a wound that is 2.6 to 7.5 cm (about 1 to 3 inches) on the scalp, neck, body, arms, or legs.
The total estimated cost of Simple Wound Repair (2.6-7.5 cm) (CPT 12002) is $138 to $224, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $57.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Simple Wound Repair (2.6-7.5 cm)
What you need to know before your appointment
What to Expect
The doctor cleans the wound, numbs the area, and closes it with stitches. A moderate-length laceration may require more stitches.
How Long Does It Take?
20-30 minutes
Common Reasons Doctors Order This
Moderate laceration from accident or injury, cut requiring stitches
How to Prepare
Apply pressure to control bleeding. Clean the wound gently. Note when the injury occurred and what caused it.
Procedures Commonly Done Together
These procedures are frequently performed alongside Rpr s/n/ax/gen/trnk2.6-7.5cm
What Insurance Companies Actually Pay
Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Cigna | $1,235 | $0 - $3,244 | 9 |
| United | $1,282 | $180 - $2,749 | 10 |
| Humana | $1,966 | $178 - $4,690 | 8 |
| Aetna | $464 | $145 - $1,031 | 5 |
| BCBS | $317 | $61 - $477 | 5 |
| Superior Health Plan | $907 | $299 - $948 | 4 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $415 | $240 - $752 | 5 |
| BCBS-TX | $243 | $131 - $335 | 2 |
| CHC | $504 | $108 - $746 | 2 |
| Multiplan | $451 | $321 - $697 | 5 |
| Anthem | $3,592 | $2,125 - $4,764 | 2 |
| UNITED | $159 | $58 - $338 | 2 |
How to Reduce Your Cost for Rpr s/n/ax/gen/trnk2.6-7.5cm
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($139) differs from the facility rate ($57). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (4.17) x CF ($33.40) = $139
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Rpr s/n/ax/gen/trnk2.6-7.5cm cost?
The Medicare facility rate for Rpr s/n/ax/gen/trnk2.6-7.5cm is $57. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Rpr s/n/ax/gen/trnk2.6-7.5cm cost without insurance?
Without insurance, the cost of Rpr s/n/ax/gen/trnk2.6-7.5cm can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Rpr s/n/ax/gen/trnk2.6-7.5cm?
Most commercial health insurance plans and Medicare cover Rpr s/n/ax/gen/trnk2.6-7.5cm when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.