Price Checker / CPT 13131

How much does Cmplx Rpr F/c/c/m/n/ax/g/h/f cost?

CPT 13131 · Based on 2026 Medicare rates and hospital-published pricing

Overcharged

The average hospital charge is roughly 7.7x the fair price. This is well above fair — push back or dispute it.

Fair price

$730–$860

What this should cost

With insurance

~$2,150

Typical out-of-pocket

Overcharged if over

$1,100

Push back above this

The average hospital charge of $6,122 is $5,322 over the fair price (about 7.7x the fair rate).

What hospitals charge for Cmplx Rpr F/c/c/m/n/ax/g/h/f

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

HospitalGross ChargeCash Ratevs Medicare
Mena Hospital Commission dba Mena Regional Health System

, AR

$12,787$7,6723226%
Dundy County Hospital

Benkelman, NE

$8,2492046%
Big Sandy Medical Center

Big Sandy, MT

$2,193465%
Noxubee General Hospital

, MS

$1,260228%

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About Cmplx Rpr F/c/c/m/n/ax/g/h/f

CPT code 13131 refers to cmplx rpr f/c/c/m/n/ax/g/h/f (billing description: "Cmplx rpr f/c/c/m/n/ax/g/h/f"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $204 in a facility (hospital or surgery center) and $384 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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