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
Hawaii
Hospital Address Code Price Last Updated
Hale Ho'ola Hamakua 100 Keokea Pl, Kula 13122 $161 [source] 3 years ago
Kau Hospital 1 Kamani Street, Pahala 13122 $161 [source] 3 years ago
Kohala Hospital 54 383 Hospital Road, Kapaau 13122 $161 [source] 3 years ago
Maui Memorial Medical Center 221 Mahalani St, Wailuku 13122 $371 [source] 3 years ago
Kula Hospital 628 Seventh Street, Lanai City 13122 $536 [source] 3 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua 13122 $8,171 [source] 3 years ago
North Hawaii Community Hospital 67-1125 Mamalahoa Hwy, Kamuela 13122 $20,381 [source] 3 years ago
The Queen's Medical Center - West O'ahu 1301 Punchbowl St, Honolulu 13122 $20,381 [source] 3 years ago
The Queen's Medical Center 4800 Kawaihau Rd, Kapaa 13122 $20,381 [source] 3 years ago

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.