Simple laceration repair (small, up to 2.5 cm) is a surgical procedure. Prices are from 2223 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $300 — about 2.6× the Medicare rate ($114). On the higher side. A fair cash price is usually within ~2× Medicare ($228).
💡 Asking for the cash price instead of the $522 list price could save about $222 (42%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Baptist Memorial Hospital Union City | Union City, TN | $46 | $327 | ★ 4/5 | 139 min | — |
| Bertrand Chaffee Hospital | Springville, NY | $47 | $89 | — | 145 min | — |
| East Morgan County Hospital | Brush, CO | $47 | $76 | — | 111 min | — |
| Trinity Hospital | Weaverville, CA | $49 | $71 | — | 69 min | — |
| Tyler County Hospital | Woodville, TX | $49 | $49 | — | 144 min | — |
| Grove Hill Memorial Hospital | Grove Hill, AL | $50 | $185 | — | 166 min | — |
| Ogallala Community Hospital | Ogallala, NE | $51 | $90 | — | 106 min | — |
| Page Hospital | Page, AZ | $56 | $83 | — | 78 min | — |
| Washakie Medical Center | Worland, WY | $56 | $90 | ★ 4/5 | 120 min | — |
| Sabine Medical Center | Many, LA | $57 | $190 | — | 129 min | — |
| Platte County Hospital | Wheatland, WY | $58 | $90 | ★ 4/5 | 123 min | — |
| VA Eastern Colorado Healthcare System | Aurora, CO | $59 | $70 | ★ 5/5 | — | — |
| Children's Hospital Colorado | Aurora, CO | $59 | $70 | — | — | — |
| Children's Hospital Colorado-Colorado Springs | Colorado Springs, CO | $59 | $70 | — | — | — |
| Russellville Hospital | Russellville, AL | $59 | $171 | ★ 4/5 | 101 min | — |
| North Canyon Medical Center | Gooding, ID | $59 | $89 | — | 116 min | — |
| Minden Medical Center | Minden, LA | $60 | $199 | ★ 2/5 | 121 min | — |
| Virtua Our Lady of Lourdes Hospital | Camden, NJ | $62 | — | ★ 2/5 | 168 min | — |
| Virtua Willingboro Hospital | Willingboro, NJ | $62 | — | ★ 3/5 | 178 min | — |
| West Jefferson Medical Center | Marrero, LA | $62 | $1,142 | ★ 3/5 | 147 min | — |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $63 | $184 | ★ 4/5 | 142 min | — |
| Henry County Hospital, Inc | Napoleon, OH | $64 | $85 | ★ 2/5 | 104 min | — |
| Aspire Hospital | Conroe, TX | $64 | $57 | — | — | — |
| Dominican Hospital | Santa Cruz, CA | $65 | $145 | ★ 4/5 | 183 min | — |
| Clinton Regional Hospital | Clinton, OK | $66 | $82 | — | 108 min | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Simple laceration repair (small, up to 2.5 cm)
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $300; Medicare pays $114.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 329 |
$12 – $235 |
| Univera | 15 |
$36 – $101 |
| Medicare | 519 |
$19 – $236 |
| Independent Health | 35 |
$45 – $249 |
| Geisinger | 67 |
$32 – $842 |
| Highmark | 127 |
$22 – $437 |
| Priority Health | 51 |
$58 – $366 |
| AmeriHealth | 192 |
$27 – $868 |
| Tricare / VA | 373 |
$22 – $322 |
| Workers' Comp / No-Fault | 128 |
$79 – $408 |
| Molina Healthcare | 532 |
$30 – $1,441 |
| Amerigroup | 140 |
$48 – $578 |
| Medica | 223 |
$75 – $540 |
| UPMC Health Plan | 98 |
$32 – $548 |
| Devoted Health | 157 |
$82 – $238 |
| Centene / Ambetter | 757 |
$27 – $948 |
| Blue Cross Blue Shield | 1268 |
$27 – $863 |
| UCare | 75 |
$43 – $455 |
| Humana | 982 |
$43 – $2,569 |
| HealthPartners | 241 |
$42 – $494 |
| Anthem | 531 |
$24 – $3,056 |
| Kaiser Permanente | 217 |
$30 – $653 |
| Harvard Pilgrim | 43 |
$107 – $519 |
| MVP Health Care | 73 |
$46 – $820 |
| Sanford Health Plan | 83 |
$45 – $374 |
| UnitedHealthcare | 1467 |
$54 – $2,174 |
| Coventry | 136 |
$86 – $673 |
| Aetna | 1324 |
$55 – $3,160 |
| Security Health Plan | 62 |
$173 – $487 |
| SelectHealth | 43 |
$131 – $5,010 |
| Health Net | 277 |
$47 – $1,009 |
| Cigna | 1051 |
$91 – $6,802 |
| MultiPlan / PHCS network | 736 |
$168 – $776 |
| AvMed | 56 |
$214 – $9,160 |
| EmblemHealth | 73 |
$219 – $2,110 |
| Bright Health | 54 |
$607 – $2,644 |
| Healthcare Highways | 45 |
$258 – $14,612 |
| Oscar Health | 228 |
$161 – $3,549 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Tennessee | $92 |
| Mississippi | $151 |
| Maine | $161 |
| Maryland | $192 |
| Louisiana | $198 |
| Arkansas | $203 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Andrew Smith, M.D. | Urology | Walnut Creek, CA | 170 |
| Browlyn Marquez, NP-C | Nurse Practitioner | East Brunswick, NJ | 154 |
| Kenneth Hsiao, MD | Urology | Walnut Creek, CA | 117 |
| Jay Ryan, D.P.M. | Podiatry | Fairfax, VA | 92 |
| William Adams, M.D. | Dermatology | Louisville, KY | 68 |
| Michael Gittleson, DPM | Podiatry | Chevy Chase, MD | 67 |
| Kurt Maggio, M.D. | Dermatology | Gainesville, VA | 61 |
| Philip Proctor, MD | General Surgery | Greenbelt, MD | 54 |
| Brittany Buhalog, M.D. | Dermatology | Madison, WI | 49 |
| Shu Pan, M.D. | Urology | Oakland, CA | 49 |
| Martin Braun, M.D. | Dermatology | Washington, DC | 48 |
| Ghazanfar Haidery, MD | Family Practice | Glen Head, NY | 42 |
Does Medicare cover Simple laceration repair (small, up to 2.5 cm)?
Yes — Medicare generally covers Simple laceration repair (small, up to 2.5 cm). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $114. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $23 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2223 US hospitals across 52 states, the typical (median) cash price is $300, versus a chargemaster (list) price around $522, a median insurer-negotiated rate of $252, a Medicare rate of about $114. Most cash prices fall between $123 and $703 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Simple laceration repair (small, up to 2.5 cm) cost without insurance?
Does Medicare cover Simple laceration repair (small, up to 2.5 cm)?
What does Medicare pay for Simple laceration repair (small, up to 2.5 cm)?
Why do Simple laceration repair (small, up to 2.5 cm) prices vary between hospitals?
Is the cash price lower than using insurance?
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