CPT 12020 Surgery - Integumentary

How Much Does Treatment Superficial Wound Dehsn Smpl Clsr Cost?

Also known as: Tx supfc wnd dehsn smpl clsr (CPT 12020)

Treatment of a superficial wound that has opened after surgery (wound dehiscence), with simple closure.

The total estimated cost of Treatment Superficial Wound Dehsn Smpl Clsr (CPT 12020) is $429 to $697, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $179.

Total Estimated Cost of Care

$429 — $697

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$179
Hospital Facility Fee
$357
Important: The physician fee of $179 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$179
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$317
Non-facility setting

Patient Guide: Treatment Superficial Wound Dehsn Smpl Clsr

What you need to know before your appointment

What to Expect

The doctor cleans the wound that has opened after a previous surgery and re-closes it with stitches, tape, or other methods.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Surgical wound reopening, superficial wound dehiscence

How to Prepare

Keep the area clean. Tell your doctor right away if a wound reopens after surgery.

Procedures Commonly Done Together

These procedures are frequently performed alongside Tx supfc wnd dehsn smpl clsr

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How to Reduce Your Cost for Tx supfc wnd dehsn smpl clsr

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 ($317) differs from the facility rate ($179). 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.

2.60
Work RVU
2.32
Practice Expense RVU
0.43
Malpractice RVU
9.48
Total RVU

Payment = Total RVU (9.48) x CF ($33.40) = $317

Frequently Asked Questions

How much does Tx supfc wnd dehsn smpl clsr cost?

The Medicare facility rate for Tx supfc wnd dehsn smpl clsr is $179. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Tx supfc wnd dehsn smpl clsr cost without insurance?

Without insurance, the cost of Tx supfc wnd dehsn smpl clsr 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 Tx supfc wnd dehsn smpl clsr?

Most commercial health insurance plans and Medicare cover Tx supfc wnd dehsn smpl clsr 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.

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