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 Repair Complex 2.6-7.5 Cm
Utica, NY
See all hospitals reporting CPT 13121 →Price type
MVHS, Inc.’s median price of $208 is 71% below the median hospital's median price ($720), higher than 2% of the 2,416 hospitals reporting CPT 13121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 39 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 4 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Aetna aetna medicare advantage fee schedule · both | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Medicare medicare fee schedule · both | $104 | $104 | — | — | — | $104 – $104 |
| 9 | WellCare wellcare fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 10 | Humana choicecare fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 11 | Humana humana medicare advantage fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 12 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 13 | Cigna mvp hmo/ppo fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 14 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $199 | $199 | $187 | 94% | — | $12 – $386 |
| 15 | Excellus excellus bcbs medicare advantage other · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 16 | Humana humana medicare advantage other · outpatient | $507 | $507 | — | — | 2–20 | $507 – $507 |
| 17 | Medicare medicare other · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 18 | Optum vaccn optum other · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 19 | UnitedHealthcare uhc medicare advantage other · outpatient | $513 | $513 | — | — | — | $513 – $513 |
| 20 | Aetna aetna medicare advantage other · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 21 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 22 | WellCare wellcare medicare advantage other · outpatient | $523 | $523 | — | — | — | $523 – $523 |
| 23 | Humana humana military other · outpatient | $688 | $688 | — | — | — | $688 – $688 |
| 24 | Tricare humana military other · outpatient | $688 | $688 | — | — | — | $688 – $688 |
| 25 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $785 | $785 | — | — | — | $785 – $785 |
Last updated: Aug 7, 2026
See Complex wound repair, 2.6 to 7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.