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 CPLX REP S/A/L EA ADD<5CM
Meridian, MS
See all hospitals reporting CPT 13122 →Price type
Rush Medical Foundation’s median price of $139 is 72% below the median hospital's median price ($500), higher than 17% 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: 11 payers, 15 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 | Humana all payor fee schedule · outpatient | $67 | $67 | $7 | 10% | — | $61 – $74 |
| 2 | Molina all payor fee schedule · outpatient | $71 | $71 | $4 | 6% | — | $66 – $75 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Optum all payor fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | WellCare all payor fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Ambetter all payor fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 7 | Cigna all payor fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 8 | Bcbs Ms all payor fee schedule · outpatient | $139 | $139 | $19 | 13% | — | $120 – $157 |
| 9 | Aetna all payor fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 10 | UnitedHealthcare all payor fee schedule · outpatient | $214 | $168 | $66 | 40% | — | $74 – $214 |
| 11 | Aetna all payor other · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 12 | MultiPlan all payor fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 13 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 14 | UnitedHealthcare all payor case rate · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 15 | Cigna all payor case rate · outpatient | $919 | $919 | — | — | — | $919 – $919 |
Last updated: Apr 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.