Price Checker / CPT 12013
How much does Rpr F/e/e/n/l/m 2.6-5.0 Cm cost?
CPT 12013 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 56x the fair price — among the most extreme markups. Dispute this.
Fair price
$310–$360
What this should cost
With insurance
~$2,000
Typical out-of-pocket
Overcharged if over
$450
Push back above this
The average hospital charge of $19,041 is $18,701 over the fair price (about 56x the fair rate).
What hospitals charge for Rpr F/e/e/n/l/m 2.6-5.0 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 | — | 25711% |
| John George Psychiatric Hospital San Leandro, CA | $494 | — | 2136% |
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 2.6-5.0 Cm
CPT code 12013 refers to rpr f/e/e/n/l/m 2.6-5.0 cm (billing description: "Rpr f/e/e/n/l/m 2.6-5.0 cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $56 in a facility (hospital or surgery center) and $146 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.