Price Checker / CPT 12018

How much does Rpr F/e/e/n/l/m >30.0 Cm cost?

CPT 12018 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 29x the fair price — among the most extreme markups. Dispute this.

Fair price

$460–$540

What this should cost

With insurance

~$2,150

Typical out-of-pocket

Overcharged if over

$680

Push back above this

The average hospital charge of $14,262 is $13,762 over the fair price (about 29x the fair rate).

What hospitals charge for Rpr F/e/e/n/l/m >30.0 Cm

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Beartooth Billings Clinic

RED LODGE, MT

$37,58921500%
Logan Regional Medical Center

Logan, WV

$4,1822303%
Mon Health Preston Memorial Hospital

, WV

$1,015$508483%

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About Rpr F/e/e/n/l/m >30.0 Cm

CPT code 12018 refers to rpr f/e/e/n/l/m >30.0 cm (billing description: "Rpr f/e/e/n/l/m >30.0 cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $174 in a facility (hospital or surgery center) and $174 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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