Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM
Low
$26
Average
$326
Median
$195
High
$11.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
267 hospitals; the 90th percentile is 6.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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408 hospital rates
iThe hospitals that file a Optum rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA case rate · both | 1 | $2.3k | $2.3k | — | — | 24 | $2.3k – $2.3k |
| 2 | Fairview Health Services Princeton, MN other · outpatient | 1 | $137 | $137 | — | — | 5–50 | $137 – $137 |
| 3 | HealthEast St John's Hospital Maplewood, MN other · outpatient | 1 | $148 | $148 | — | — | 5–50 | $148 – $148 |
| 4 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $229 | $135 | 59% | 4–40 | $94 – $364 |
| 5 | Fairview Health Services Princeton, MN other · inpatient | 1 | $137 | $137 | — | — | 3–30 | $137 – $137 |
| 6 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $148 | $148 | — | — | 3–30 | $148 – $148 |
| 7 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $106 | $106 | — | — | 2–20 | $106 – $106 |
| 8 | Fairview Health Services Princeton, MN other · both | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 9 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 10 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 11 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 12 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 13 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 14 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 15 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $48 | $48 | $8 | 17% | — | $40 – $56 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 22 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 23 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 24 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 25 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
← Payers reporting CPT 12013 · Snapshot 20261111T120946Z-9134e7f7