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
Nebraska
Hospital Address Code Price Last Updated
Chi Health Schuyler 1721 Colfax St, Schuyler 13122 $499 [source] 3 years ago
Chi Health Plainview 704 N 3Rd St, Plainview 13122 $499 [source] 3 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City 13122 $499 [source] 3 years ago
Chi Health Lakeside 17201 Wright St, Omaha 13122 $528 [source] 3 years ago
Chi Health Midlands 11111 S 84Th St, Papillion 13122 $528 [source] 3 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha 13122 $528 [source] 3 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 13122 $528 [source] 3 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln 13122 $546 [source] 3 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney 13122 $546 [source] 3 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island 13122 $546 [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.