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 H/A/G/EXT EA ADD<5CM
Quitman, MS
See all hospitals reporting CPT 13133 →Price type
Rush Medical Foundation’s median price of $376 is 35% below the median hospital's median price ($578), higher than 38% of the 1,944 hospitals reporting CPT 13133. 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 | $102 | $102 | $10 | 10% | — | $92 – $113 |
| 2 | Molina all payor fee schedule · outpatient | $107 | $107 | $6 | 6% | — | $101 – $114 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 4 | Optum all payor fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 5 | WellCare all payor fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 6 | Ambetter all payor fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 7 | Cigna all payor fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 8 | Bcbs Ms all payor fee schedule · outpatient | $208 | $208 | $24 | 11% | — | $184 – $231 |
| 9 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 10 | Aetna all payor fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $328 | $256 | $101 | 40% | — | $113 – $328 |
| 12 | MultiPlan all payor fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 13 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $417 | $417 | — | — | — | $417 – $417 |
| 14 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $496 | $496 | — | — | — | $496 – $496 |
| 15 | Cigna Healthspring all payor other · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 16 | Humana all payor other · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 17 | Optum all payor other · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 18 | UnitedHealthcare all payor other · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 19 | Ambetter all payor other · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 20 | Molina all payor other · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 21 | WellCare all payor other · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 22 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 23 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $668 | $668 | — | — | — | $668 – $668 |
| 24 | Bcbs Ms all payor other · outpatient | $713 | $713 | — | — | — | $713 – $713 |
Last updated: Apr 1, 2026
See Add-on complex wound repair, each extra 5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.