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
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 13122 $63 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 13122 $245 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 13122 $245 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 13122 $255 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 13122 $359 [source] 3 years ago
River Falls Area Hospital , River Falls 13122 $362 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 13122 $401 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 13122 $463 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 13122 $585 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 13122 $595 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 13122 $595 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 13122 $595 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 13122 $697 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 13122 $700 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 13122 $931 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 13122 $949 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 13122 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 13122 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 13122 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 13122 $1,265 [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.