Code: 13122

Description:
HC RPR CPLX S/A/L EA 5 CM/<
Other Descriptions:
LCW COMPLX S/A/L EA AD <5CM
COMPLEX RPR TNK EA 5CM
HC LCW COMPLX S/A/L EA AD <5CM
RPR COMPLEX SCALP EACH ADDL 5CM
RPR CMPLX SCLP ARM LEG
REP CMPLX SX/ARM/LG EA ADD 5 CM
CMPLX RPR S/A/L ADDL 5 CM/>
REPAIR COMP B EA ADDL 5CM
PCHG WND CPX SC XT EA ADD 5 CM PROFEE
Related codes:
Code: 13120
HC REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM
Code: 13121
HC RPR CPLX S/A/L 2.6 CM-7.5 CM
State Average # Hospitals In Database
Missouri (MO) $116 1
Wyoming (WY) $202 2
New Jersey (NJ) $216 2
South Dakota (SD) $223 3
Rhode Island (RI) $226 4
District of Columbia (DC) $238 2
Maine (ME) $290 6
New York (NY) $293 4
Vermont (VT) $306 4
Maryland (MD) $344 1
New Hampshire (NH) $351 1
Idaho (ID) $369 8
West Virginia (WV) $401 2
North Dakota (ND) $460 3
Iowa (IA) $509 3
Ohio (OH) $515 9
Nebraska (NE) $525 10
Oklahoma (OK) $589 4
Georgia (GA) $602 10
Wisconsin (WI) $643 21
Connecticut (CT) $745 11
Minnesota (MN) $794 27
Washington (WA) $844 5
North Carolina (NC) $981 23
Pennsylvania (PA) $986 3
Nevada (NV) $1,049 13
Alabama (AL) $1,098 11
Massachusetts (MA) $1,537 15
Mississippi (MS) $1,799 6
Indiana (IN) $1,865 15
Tennessee (TN) $2,006 11
Kansas (KS) $2,018 6
Utah (UT) $2,060 2
Michigan (MI) $2,313 139
Florida (FL) $2,438 54
California (CA) $3,423 48
Kentucky (KY) $4,419 8
Texas (TX) $4,612 41
Virginia (VA) $4,732 2
Oregon (OR) $5,062 3
South Carolina (SC) $6,911 4
Hawaii (HI) $7,856 9
Arizona (AZ) $48,507 2
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.