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
REPR COMPLX EA ADD 5CM OR LESS
Low
$1
Average
$1.3k
Median
$714
High
$46.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1460 hospitals; the 90th percentile is 27.9× 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.
Filter by billing methodology
Filter by billing class
2,303 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $71 | $71 | — | — | 406 | $71 – $71 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $71 | $71 | — | — | 337 | $71 – $71 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $46.1k | $50.3k | $8.4k | 17% | 132 | $46.1k – $67.1k |
| 4 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $4.3k | $4.3k | $224 | 5% | 56 | $4.0k – $4.5k |
| 5 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $366 | $366 | $20 | 5% | 28 | $346 – $385 |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $55.3k | $55.3k | — | — | 14 | $55.3k – $55.3k |
| 7 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $954 | $922 | $55 | 6% | 4–40 | $813 – $954 |
| 8 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 1 | $1.6k | $1.6k | — | — | 4–40 | $1.6k – $1.6k |
| 9 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $24.9k | $30.0k | $11.7k | 39% | 3–30 | $18.9k – $46.1k |
| 10 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $1.6k | $1.6k | $324 | 20% | 3–30 | $1.3k – $1.9k |
| 11 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $848 | $848 | $19 | 2% | 2–20 | $829 – $866 |
| 12 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $3.4k | $3.4k | $178 | 5% | 2–20 | $3.2k – $3.6k |
| 13 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $366 | $366 | $20 | 5% | 2–20 | $346 – $385 |
| 14 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $366 | $366 | $20 | 5% | 2–20 | $346 – $385 |
| 15 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $32.4k | $32.4k | — | — | 2–20 | $32.4k – $32.4k |
| 16 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 17 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 1–10 | $289 – $289 |
| 18 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.1k | 49% | 1–10 | $1.2k – $3.5k |
| 19 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $317 | $317 | $6 | 2% | 1–10 | $311 – $323 |
| 20 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $344 | $344 | — | — | 1–10 | $344 – $344 |
| 21 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 22 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $506 | $506 | — | — | 1–10 | $506 – $506 |
| 23 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 24 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
| 25 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
← Payers reporting CPT 13102 · Snapshot 20261112T181611Z-3fa9fb76