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
HC CMPLX LC EA 5CM SCLP-ARM-LG
Enumclaw, WA
See all hospitals reporting CPT 13122 →Price type
Enumclaw Regional Hospital Association’s median price of $299 is 40% 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 | Kaiser medicare|all plans fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $313 | $313 | — | — | — | $313 – $313 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $315 | $315 | — | — | — | $315 – $315 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 14 | Aetna commercial|awh fee schedule · inpatient | $422 | $422 | — | — | — | $422 – $422 |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $507 | $507 | — | — | — | $507 – $507 |
| 16 | Aetna commercial|rental fee schedule · inpatient | $760 | $760 | — | — | — | $760 – $760 |
| 17 | Aetna commercial|rental fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 18 | MultiPlan commercial|all plans fee schedule · inpatient | $951 | $951 | — | — | — | $951 – $951 |
| 19 | MultiPlan commercial|all plans fee schedule · outpatient | $951 | $951 | — | — | — | $951 – $951 |
| 20 | UnitedHealthcare commercial|navigate case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | UnitedHealthcare commercial|all other plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | UnitedHealthcare commercial|cascade care case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Feb 28, 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.