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
Sclp/Arms/Lgs Ea Add 5cm or Less
Eureka, IL
See all hospitals reporting CPT 13122 →Price type
Carle Eureka Hospital’s median price of $303 is 39% below the median hospital's median price ($500), higher than 36% 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, 22 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $134 | $134 | $1 | 0% | — | $134 – $135 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $134 | $134 | $1 | 0% | — | $134 – $135 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $134 | $134 | $1 | 0% | — | $134 – $135 |
| 10 | Aetna commercial fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $302 | $302 | $1 | 0% | — | $301 – $303 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $302 | $302 | $1 | 0% | — | $301 – $303 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $302 | $302 | $1 | 0% | — | $301 – $303 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $302 | $302 | $1 | 0% | — | $301 – $303 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $322 | $322 | $1 | 0% | — | $321 – $323 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $412 | $412 | $2 | 0% | — | $410 – $413 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $414 | $414 | $2 | 0% | — | $412 – $415 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $443 | $443 | $2 | 0% | — | $442 – $445 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $443 | $443 | $2 | 0% | — | $442 – $445 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $449 | $449 | $2 | 0% | — | $448 – $451 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $503 | $503 | $2 | 0% | — | $501 – $505 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $563 | $563 | $2 | 0% | — | $561 – $565 |
Last updated: Apr 15, 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.