Price Checker / CPT 13120
How much does Cmplx Rpr S/a/l 1.1-2.5 Cm cost?
CPT 13120 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.2x the fair price. You have grounds to ask for a reduction.
Fair price
$800–$940
What this should cost
With insurance
~$2,150
Typical out-of-pocket
Overcharged if over
$1,200
Push back above this
The average hospital charge of $1,956 is $1,086 over the fair price (about 2.2x the fair rate).
What hospitals charge for Cmplx Rpr S/a/l 1.1-2.5 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 |
|---|---|---|---|
| 23330 Emergency Center, LLC d/b/a/ Elite Hospital Kingwood Kingwood, TX | $2,929 | — | 734% |
| Big Sandy Medical Center Big Sandy, MT | $1,680 | — | 374% |
| Noxubee General Hospital , MS | $1,260 | — | 259% |
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 Cmplx Rpr S/a/l 1.1-2.5 Cm
CPT code 13120 refers to cmplx rpr s/a/l 1.1-2.5 cm (billing description: "Cmplx rpr s/a/l 1.1-2.5 cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $198 in a facility (hospital or surgery center) and $351 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.