Price Checker / CPT 13122
How much does Cmplx Rpr S/a/l Addl 5 Cm/> cost?
CPT 13122 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 25x the fair price — among the most extreme markups. Dispute this.
Fair price
$570–$670
What this should cost
With insurance
~$2,050
Typical out-of-pocket
Overcharged if over
$840
Push back above this
The average hospital charge of $15,625 is $15,005 over the fair price (about 25x the fair rate).
What hospitals charge for Cmplx Rpr S/a/l Addl 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 |
|---|---|---|---|
| The Christ Hospital Inpatient Psychiatry , OH | $22,883 | $4,460 | 17741% |
| The Christ Hospital Inpatient Rehab , OH | $22,883 | $4,460 | 17741% |
| The Christ Hospital Liberty , OH | $22,883 | $4,460 | 17741% |
| The Christ Hospital , OH | $22,883 | $4,460 | 17741% |
| Iroquois Memorial Hospital WATSEKA, IL | $1,150 | $805 | 797% |
| Richardson Medical Center RAYVILLE, LA | $1,072 | $804 | 736% |
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 Addl 5 Cm/>
CPT code 13122 refers to cmplx rpr s/a/l addl 5 cm/> (billing description: "Cmplx rpr s/a/l addl 5 cm/>"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $68 in a facility (hospital or surgery center) and $128 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.