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
REP COMP SCALP,ARM,LEG EA ADD 5CM
Low
$1
Average
$1.2k
Median
$636
High
$28.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1647 hospitals; the 90th percentile is 23.8× 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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2,682 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 · outpatient | 1 | $82 | $82 | — | — | 631 | $82 – $82 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $82 | $82 | — | — | 98 | $82 – $82 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $25.2k | $25.1k | $24.1k | 96% | 35–44 | $797 – $49.3k |
| 4 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 1 | $523 | $523 | — | — | 4–40 | $523 – $523 |
| 5 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 1 | $523 | $523 | — | — | 4–40 | $523 – $523 |
| 6 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $642 | $620 | $37 | 6% | 3–30 | $547 – $642 |
| 7 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $336 | $341 | $7 | 2% | 3–30 | $336 – $349 |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $11.8k | $18.0k | $19.6k | 109% | 3–30 | $670 – $54.0k |
| 9 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $465 | $75 | 16% | 2–20 | $390 – $540 |
| 10 | 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 |
| 11 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $3.4k | $3.4k | $178 | 5% | 2–20 | $3.2k – $3.6k |
| 12 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $6.3k | $6.3k | $330 | 5% | 2–20 | $5.9k – $6.6k |
| 13 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $366 | $366 | $20 | 5% | 2–20 | $346 – $385 |
| 14 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $43.2k | $43.2k | — | — | 2–20 | $43.2k – $43.2k |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 16 | WEST KENDALL BAPTIST HOSPITAL Miami, FL case rate · outpatient | 1 | $183 | $183 | — | — | 2–20 | $183 – $183 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $973 | $973 | — | — | 2–20 | $973 – $973 |
| 18 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 19 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 20 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $339 | $339 | — | — | 1–10 | $339 – $339 |
| 21 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 22 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $2.6k | $2.0k | 78% | 1–10 | $1.1k – $5.4k |
| 23 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 24 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $873 | — | — | 1–10 | $873 – $873 |
| 25 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
← Payers reporting CPT 13122 · Snapshot 20261112T181611Z-3fa9fb76