Price Checker / CPT 13121
How much does Cmplx Rpr S/a/l 2.6-7.5 Cm cost?
CPT 13121 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$1,050–$1,250
What this should cost
With insurance
~$2,200
Typical out-of-pocket
Overcharged if over
$1,550
Push back above this
The average hospital charge of $1,512 is $362 over the fair price.
What hospitals charge for Cmplx Rpr S/a/l 2.6-7.5 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 | — | 601% |
| Big Sandy Medical Center Big Sandy, MT | $2,100 | — | 398% |
| Noxubee General Hospital , MS | $1,260 | — | 202% |
| Broadlawns Cityville Urgent Care & Family Medicine Des Moines, IA | $1,103 | — | 164% |
| Broadlawns Community Clinic at Drake Des Moines, IA | $1,103 | — | 164% |
| Broadlawns East University Urgent Care & Family Medicine Des Moines, IA | $1,103 | — | 164% |
| Livingston Hospital and Healthcare Center, Inc. Salem, KY | — | — | 136% |
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 2.6-7.5 Cm
CPT code 13121 refers to cmplx rpr s/a/l 2.6-7.5 cm (billing description: "Cmplx rpr s/a/l 2.6-7.5 cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $215 in a facility (hospital or surgery center) and $418 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.