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
13122 CMPX S/A/L REP EA<=5CM
Arlington, TX
See all hospitals reporting CPT 13122 →Price type
AMH Cath Labs LLC’s median price of $451 is 10% below the median hospital's median price ($500), higher than 47% of the 2,080 hospitals reporting CPT 13122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 7 | Humana medicare advantage case rate · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 9 | Molina medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 14 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $252 | $252 | — | — | — | $252 – $252 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $338 | $338 | — | — | — | $338 – $338 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $507 | $507 | — | — | — | $507 – $507 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $507 | $507 | — | — | — | $507 – $507 |
| 20 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $555 | $555 | — | — | — | $555 – $555 |
| 21 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $556 | $556 | — | — | — | $556 – $556 |
| 22 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $560 | $560 | — | — | — | $560 – $560 |
| 23 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $560 | $560 | — | — | — | $560 – $560 |
| 24 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $686 | $686 | — | — | — | $686 – $686 |
Last updated: Apr 21, 2026
See Complex repair of scalp, arm or leg wound, 5 cm or less extra pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.