Price Checker / CPT 12011
How much does Rpr F/e/e/n/l/m 2.5 Cm/< cost?
CPT 12011 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 34x the fair price — among the most extreme markups. Dispute this.
Fair price
$320–$370
What this should cost
With insurance
~$2,000
Typical out-of-pocket
Overcharged if over
$460
Push back above this
The average hospital charge of $11,895 is $11,545 over the fair price (about 34x the fair rate).
What hospitals charge for Rpr F/e/e/n/l/m 2.5 Cm/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Beartooth Billings Clinic RED LODGE, MT | $37,589 | — | 26822% |
| "St. Mary's General Hospital" PASSAIC, NJ | $17,310 | $300 | 12298% |
| Marshfield Medical Center River Region Hospital STEVENS POINT, WI | — | — | 2165% |
| Washington County Hospital and Nursing Home Chatom, AL | $957 | — | 1956% |
| Haskell Rural Health Clinic Haskell, TX | $456 | — | 227% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Rpr F/e/e/n/l/m 2.5 Cm/<
CPT code 12011 refers to rpr f/e/e/n/l/m 2.5 cm/< (billing description: "Rpr f/e/e/n/l/m 2.5 cm/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $54 in a facility (hospital or surgery center) and $140 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.