Price Checker / CPT 13102
How much does Cmplx Rpr Trunk Addl 5cm/< cost?
CPT 13102 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 68x the fair price — among the most extreme markups. Dispute this.
Fair price
$180–$360
What this should cost
With insurance
~$2,150
Typical out-of-pocket
Overcharged if over
$450
Push back above this
The average hospital charge of $18,437 is $18,167 over the fair price (about 68x the fair rate).
What hospitals charge for Cmplx Rpr Trunk Addl 5cm/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Phelps Hospital SLEEPY HOLLOW, NY | — | $4,595 | 28501% |
| Mather Hospital , NY | — | $4,595 | 26444% |
| Franciscan Health Olympia Fields , IL | $22,423 | $4,485 | 18549% |
| North Shore University Hospital MANHASSET, NY | — | $4,595 | 17557% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 16651% |
| Long Island Jewish Valley Stream , NY | — | $4,595 | 16651% |
| Syosset Hospital , NY | — | $4,595 | 16651% |
| Chilton Medical Center POMPTON PLAINS, NJ | $20,123 | $2,132 | 16636% |
| Plainview Hospital PLAINVIEW, NY | — | $4,595 | 16242% |
| "Cohen Children's Medical Center" , NY | — | $4,595 | 15889% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $4,595 | 15889% |
| Zucker Hillside Hospital , NY | — | $4,595 | 15889% |
| Lenox Hill Hospital NEW YORK, NY | — | $4,595 | 13240% |
| Franciscan Health Munster MUNSTER, IN | $16,002 | $4,273 | 13208% |
| Franciscan Health Orthopedic-Carmel , IN | $15,323 | $4,030 | 12643% |
Were you billed for this procedure?
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About Cmplx Rpr Trunk Addl 5cm/<
CPT code 13102 refers to cmplx rpr trunk addl 5cm/< (billing description: "Cmplx rpr trunk addl 5cm/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $60 in a facility (hospital or surgery center) and $120 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.