The result of the expression $-7 + 4 \cdot 8 - 12 \div 4$ is $22.0$.

Would you like further explanation or details? Here are some related questions you might be interested in:

1. How does the order of operations (PEMDAS) apply to this problem?
2. Can parentheses affect the outcome of this expression?
3. What happens if we change the multiplication and division to addition or subtraction?
4. How would this expression change if we added negative exponents?
5. What are the differences between solving this expression with decimals instead of integers?

Tip: Always remember the order of operations: Parentheses, Exponents, Multiplication and Division (from left to right), Addition and Subtraction (from left to right).