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
Cmplx rpr s/a/l addl 5 cm/>
Montgomery, AL
See all hospitals reporting CPT 13122 →Price type
Jackson Hospital’s median price of $272 is 46% below the median hospital's median price ($500), higher than 33% 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: 5 payers, 11 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 | UnitedHealthcare 310300 fee schedule · both | $211 | $211 | — | — | — | $211 – $211 |
| 2 | Bcbs Al 100100 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 3 | Bcbs Al 100109 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 4 | Blue Cross Blue Shield 100101 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 5 | Blue Cross Blue Shield 100102 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 6 | Blue Cross Blue Shield 100104 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 7 | Blue Cross Blue Shield 100105 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 8 | Blue Cross Blue Shield 100108 fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 9 | Cigna 300301 fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 10 | Humana 300376 fee schedule · both | $898 | $898 | — | — | — | $898 – $898 |
| 11 | Humana 510122 fee schedule · both | $898 | $898 | — | — | — | $898 – $898 |
Last updated: Jun 23, 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.