CPT 12001 Surgery

Simple wound repair, up to 2.5 cm Cost

Body System: Integumentary

Medicare Facility Rate
$76
CMS PFS CY2026
Medicare Non-Facility Rate
$123
Office/clinic setting
Hospital Outpatient
$205
OPPS rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

1.51
Work RVU
0.72
Facility PE RVU
0.13
Malpractice RVU

Cost by Location

Location Medicare Rate Est. Commercial
US — Carrier 01112 Locality 05 $48 $72 — $120
US — Carrier 01112 Locality 09 $48 $73 — $121
US — Carrier 01112 Locality 51 $46 $70 — $116
US — Carrier 01112 Locality 52 $48 $72 — $120
US — Carrier 01112 Locality 53 $46 $69 — $115
US — Carrier 01112 Locality 54 $44 $65 — $109
US — Carrier 01112 Locality 55 $43 $65 — $108
US — Carrier 01112 Locality 56 $43 $65 — $108
US — Carrier 01112 Locality 57 $43 $65 — $108
US — Carrier 01112 Locality 58 $43 $65 — $108
US — Carrier 01112 Locality 59 $43 $65 — $108
US — Carrier 01112 Locality 60 $43 $65 — $108
US — Carrier 01112 Locality 61 $43 $65 — $108
US — Carrier 01112 Locality 62 $45 $67 — $112
US — Carrier 01112 Locality 63 $44 $66 — $111
US — Carrier 01112 Locality 64 $44 $66 — $110
US — Carrier 01112 Locality 65 $49 $74 — $123
US — Carrier 01112 Locality 66 $44 $67 — $111
US — Carrier 01112 Locality 67 $45 $67 — $112
US — Carrier 01112 Locality 68 $43 $65 — $108

Frequently Asked Questions

How much does Simple wound repair, up to 2.5 cm cost?

The Medicare facility rate is $76. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $205.

How much does Simple wound repair, up to 2.5 cm cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $76.