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,RT CMPLX RPR S/A/L ADDL 5 CM/>
Peru, IN
See all hospitals reporting CPT 13122 →Price type
Dukes Health System LLC’s median price of $162 is 68% below the median hospital's median price ($500), higher than 21% 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: 11 payers, 34 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 | Anthem anthem in hip facility · fee schedule · outpatient | $65 | $71 | $14 | 19% | — | $59 – $90 |
| 2 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $116 | $128 | $24 | 19% | — | $106 – $162 |
| 3 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $116 | $128 | $24 | 19% | — | $106 – $162 |
| 4 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $159 | $175 | $33 | 19% | — | $145 – $221 |
| 5 | Tricare node tricare facility · fee schedule · outpatient | $60 | $196 | $390 | 199% | — | $54 – $1.4k |
| 6 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $64 | $208 | $414 | 199% | — | $58 – $1.4k |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $64 | $208 | $414 | 199% | — | $58 – $1.4k |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $64 | $208 | $414 | 199% | — | $58 – $1.4k |
| 9 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $65 | $211 | $421 | 199% | — | $59 – $1.5k |
| 10 | Optum node united optum va ccn facility · per diem · outpatient | $65 | $211 | $421 | 199% | — | $59 – $1.5k |
| 11 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $65 | $212 | $422 | 199% | — | $59 – $1.5k |
| 12 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $65 | $212 | $422 | 199% | — | $59 – $1.5k |
| 13 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $258 | $285 | $54 | 19% | — | $235 – $360 |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $262 | $288 | $55 | 19% | — | $238 – $365 |
| 15 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $262 | $288 | $55 | 19% | — | $238 – $365 |
| 16 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $97 | $317 | $631 | 199% | — | $88 – $2.2k |
| 17 | Anthem anthem in work comp facility · other · outpatient | $103 | $338 | $673 | 199% | — | $94 – $2.4k |
| 18 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $116 | $380 | $757 | 199% | — | $106 – $2.7k |
| 19 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $116 | $380 | $757 | 199% | — | $106 – $2.7k |
| 20 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $137 | $448 | $892 | 199% | — | $125 – $3.1k |
| 21 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $154 | $503 | $1.0k | 199% | — | $140 – $3.5k |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $258 | $845 | $1.7k | 199% | — | $235 – $5.9k |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $262 | $856 | $1.7k | 199% | — | $238 – $6.0k |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $262 | $856 | $1.7k | 199% | — | $238 – $6.0k |
| 25 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $323 | $1.1k | $2.1k | 199% | — | $294 – $7.4k |
Last updated: Apr 1, 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.