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
Quitman, MS
See all hospitals reporting CPT 13122 →Price type
Rush Medical Foundation’s median price of $217 is 57% below the median hospital's median price ($500), higher than 27% 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 12 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 13 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 14 | Cigna Healthspring all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 15 | Humana all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 16 | Optum all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 17 | UnitedHealthcare all payor other · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 18 | Ambetter all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 19 | Molina all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 20 | WellCare all payor other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 21 | MultiPlan all payor fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 22 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 23 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 24 | Bcbs Ms all payor other · outpatient | $301 | $301 | — | — | — | $301 – $301 |
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.