Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less
Medicare pricing data for 5,708 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS code 13122) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.76, but hospitals typically charge $366.38 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $109.76, your out-of-pocket cost would be approximately $21.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $87.60 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $126 | $307 | 18 | 102 | +14.9% |
| New York | $122 | $913 | 297 | 1,405 | +11.2% |
| Vermont | $119 | $252 | 4 | 16 | +8.4% |
| Florida | $118 | $314 | 692 | 3,582 | +7.8% |
| California | $118 | $370 | 623 | 3,299 | +7.6% |
| Massachusetts | $118 | $415 | 132 | 629 | +7.3% |
| Colorado | $118 | $308 | 104 | 392 | +7.3% |
| Connecticut | $117 | $369 | 60 | 263 | +6.6% |
| Nevada | $116 | $271 | 61 | 367 | +5.7% |
| New Jersey | $116 | $603 | 166 | 815 | +5.4% |
| Illinois | $113 | $471 | 179 | 719 | +2.9% |
| Virginia | $110 | $446 | 129 | 555 | +0.6% |
| Washington | $110 | $276 | 133 | 539 | +0.6% |
| Texas | $110 | $308 | 369 | 2,164 | +0.5% |
| North Carolina | $109 | $294 | 158 | 823 | -0.9% |
| Georgia | $108 | $337 | 181 | 1,049 | -1.3% |
| Delaware | $108 | $312 | 16 | 161 | -1.7% |
| Rhode Island | $107 | $317 | 27 | 144 | -2.3% |
| Maryland | $107 | $292 | 99 | 568 | -2.4% |
| South Carolina | $107 | $265 | 110 | 449 | -2.9% |
| Arizona | $106 | $271 | 163 | 1,059 | -3.2% |
| Pennsylvania | $105 | $319 | 235 | 1,013 | -4.0% |
| District of Columbia | $104 | $298 | 20 | 96 | -5.3% |
| West Virginia | $104 | $288 | 32 | 116 | -5.4% |
| Louisiana | $104 | $307 | 59 | 239 | -5.4% |
| Michigan | $103 | $294 | 134 | 540 | -5.7% |
| Montana | $102 | $282 | 25 | 51 | -7.2% |
| Kentucky | $101 | $281 | 69 | 255 | -7.6% |
| Tennessee | $101 | $236 | 123 | 450 | -8.3% |
| Wisconsin | $100 | $597 | 81 | 422 | -8.7% |
| Oklahoma | $100 | $264 | 52 | 216 | -8.8% |
| Minnesota | $99 | $398 | 72 | 190 | -9.6% |
| Alabama | $99 | $313 | 96 | 558 | -10.1% |
| Maine | $99 | $249 | 10 | 28 | -10.2% |
| Utah | $98 | $250 | 46 | 225 | -10.3% |
| Oregon | $98 | $328 | 65 | 204 | -10.3% |
| Ohio | $98 | $298 | 190 | 686 | -10.4% |
| New Mexico | $98 | $305 | 21 | 41 | -10.7% |
| Idaho | $97 | $323 | 39 | 129 | -11.7% |
| South Dakota | $97 | $230 | 34 | 148 | -12.1% |
| Missouri | $96 | $333 | 130 | 558 | -12.9% |
| New Hampshire | $96 | $334 | 33 | 120 | -13.0% |
| Arkansas | $95 | $225 | 62 | 322 | -13.8% |
| Indiana | $94 | $286 | 109 | 546 | -14.4% |
| Iowa | $93 | $417 | 36 | 87 | -15.2% |
| Kansas | $92 | $290 | 63 | 260 | -16.4% |
| Nebraska | $90 | $381 | 33 | 87 | -18.0% |
| Mississippi | $88 | $361 | 61 | 226 | -19.5% |
| North Dakota | $83 | $288 | 24 | 104 | -24.1% |
| Wyoming | $80 | $367 | 6 | 46 | -26.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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