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
C REP S/A/L; EA ADD 5 CM/<
Hialeah, FL
See all hospitals reporting CPT 13122 →Price type
Hsa Pgh Llc’s median price of $463 is 9% below the median hospital's median price ($509), higher than 47% of the 2,039 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, 24 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 2 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 3 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 4 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 5 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 6 | Molina molina managed medicaid facility · other · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 7 | Aetna aetna non-gatekeeper facility · case rate · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 8 | Magellan magellan behavioral health facility · per diem · outpatient | $465 | $465 | — | — | — | $465 – $465 |
| 9 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $598 | $598 | — | — | — | $598 – $598 |
| 10 | Humana humana commercial hmo facility · other · outpatient | $659 | $659 | — | — | — | $659 – $659 |
| 11 | Humana humana commercial ppo facility · other · outpatient | $690 | $690 | — | — | — | $690 – $690 |
| 12 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $850 | $850 | — | — | — | $850 – $850 |
| 13 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $850 | $850 | — | — | — | $850 – $850 |
| 14 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $969 | $969 | — | — | — | $969 – $969 |
| 15 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $969 | $969 | — | — | — | $969 – $969 |
| 16 | Humana humana commercial hmo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare united healthcare of florida exchange facility · case rate · outpatient | $1.1k | $1.1k | $794 | 73% | — | $288 – $1.9k |
| 18 | Humana humana commercial ppo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | UnitedHealthcare united healthcare of florida all payer facility · case rate · outpatient | $1.6k | $1.6k | $1.2k | 73% | — | $436 – $2.8k |
| 22 | UnitedHealthcare united healthcare of florida hmo facility · case rate · outpatient | $1.6k | $1.6k | $1.2k | 73% | — | $436 – $2.8k |
| 23 | UnitedHealthcare united healthcare of florida ppo facility · case rate · outpatient | $1.7k | $1.7k | $1.1k | 68% | — | $548 – $2.8k |
| 24 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $18.1k | $18.1k | $16.9k | 93% | — | $1.2k – $35k |
Last updated: Sep 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.