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
SUT CMPLX S/A/L 2.6-7.5CM
Clovis, CA
See all hospitals reporting CPT 13121 →Price type
Clovis Community Medical Center’s median price of $523 is 28% below the median hospital's median price ($725), higher than 27% of the 2,385 hospitals reporting CPT 13121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · inpatient | $395 | $277 | $167 | 60% | — | $41 – $395 |
| 2 | Molina managed medi-cal facility · fee schedule · inpatient | $395 | $395 | — | — | — | $395 – $395 |
| 3 | Aetna medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 4 | Aetna medicare hmo for chp facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 5 | Aetna ppo facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 7 | Cigna access (pffs) facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 8 | Cigna healthspring facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 9 | Humana medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 10 | Kaiser commercial facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 11 | Kaiser senior advantage medicare facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 12 | WellCare medicare advantage facility · case rate · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 13 | Blue Cross Blue Shield epn facility · fee schedule · inpatient | $527 | $527 | — | — | — | $527 – $527 |
| 14 | UnitedHealthcare medicare advantage facility · case rate · inpatient | $531 | $531 | — | — | — | $531 – $531 |
| 15 | Aetna medicare hmo for non-chp facility · case rate · inpatient | $549 | $549 | — | — | — | $549 – $549 |
| 16 | UnitedHealthcare hmo facility · case rate · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare ppo facility · case rate · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Humana choice care ppo facility · fee schedule · inpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | MultiPlan ppo facility · fee schedule · inpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Phcs commercial facility · fee schedule · inpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Blue Cross Blue Shield exchange hmo facility · case rate · inpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | Blue Cross Blue Shield hmopos facility · case rate · inpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 23 | Aetna hmoposppo facility · case rate · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | Aetna qualified health plan facility · case rate · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 25 | Blue Cross Blue Shield epoppo facility · case rate · inpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
Last updated: Sep 11, 2026
See Complex wound repair, 2.6 to 7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.