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 Rep Trunk Ea Addl 5.0cm/<
Ozark, MO
See all hospitals reporting CPT 13102 →Price type
Mercy Hospital Springfield’s median price of $1.6k is 197% above the median hospital's median price ($547), higher than 71% of the 1,860 hospitals reporting CPT 13102. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 27 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 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 3 | Humana hb sprg humana facility · fee schedule · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 4 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Aetna hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Cigna hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Humana hb sprg humana medicare 100% facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Medica hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Medicare hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Tricare hb sprg tricare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | MultiPlan hb sprg phcs (mpi) facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 24 | Anthem hb sprg anthem alliance facility · case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 25 | Blue Cross Blue Shield hb sprg anthem alliance facility · case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
Last updated: Jun 4, 2026
See Complex trunk wound repair, each additional 5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.