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 TRUNK EA ADD<5 CM
Quitman, MS
See all hospitals reporting CPT 13102 →Price type
Rush Medical Foundation’s median price of $217 is 60% below the median hospital's median price ($547), higher than 30% 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: 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 | Humana all payor fee schedule · outpatient | $59 | $59 | $6 | 10% | — | $53 – $64 |
| 2 | Molina all payor fee schedule · outpatient | $61 | $61 | $4 | 6% | — | $58 – $65 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Optum all payor fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | WellCare all payor fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Ambetter all payor fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Cigna all payor fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 8 | Bcbs Ms all payor fee schedule · outpatient | $119 | $119 | $15 | 13% | — | $104 – $134 |
| 9 | Aetna all payor fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 10 | UnitedHealthcare all payor fee schedule · outpatient | $185 | $145 | $57 | 39% | — | $64 – $185 |
| 11 | MultiPlan all payor fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 12 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 13 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $612 | $612 | — | — | — | $612 – $612 |
| 14 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $729 | $729 | — | — | — | $729 – $729 |
| 15 | Cigna Healthspring all payor other · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 16 | Humana all payor other · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 17 | Optum all payor other · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 18 | UnitedHealthcare all payor other · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 19 | Ambetter all payor other · outpatient | $766 | $766 | — | — | — | $766 – $766 |
| 20 | Molina all payor other · outpatient | $766 | $766 | — | — | — | $766 – $766 |
| 21 | WellCare all payor other · outpatient | $766 | $766 | — | — | — | $766 – $766 |
| 22 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $850 | $850 | — | — | — | $850 – $850 |
| 23 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $981 | $981 | — | — | — | $981 – $981 |
| 24 | Bcbs Ms all payor other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 1, 2026
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