Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
Medicare pricing data for 11,792 providers across 52 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, 2.6-7.5 cm (HCPCS code 13121) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $302.56, but hospitals typically charge $963.80 — a 3.2x 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 $302.56, your out-of-pocket cost would be approximately $60.51. 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 3.2x more than what Medicare allows for this procedure. Medicare actually pays $237.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $404 | $1,167 | 44 | 488 | +33.7% |
| Puerto Rico | $369 | $483 | 18 | 120 | +22.0% |
| California | $337 | $1,015 | 1,441 | 26,182 | +11.5% |
| New York | $331 | $1,364 | 667 | 9,765 | +9.6% |
| New Jersey | $331 | $1,306 | 371 | 5,028 | +9.5% |
| Hawaii | $329 | $978 | 34 | 452 | +8.7% |
| Florida | $327 | $884 | 1,422 | 41,862 | +8.2% |
| Virginia | $325 | $980 | 265 | 3,881 | +7.4% |
| Colorado | $322 | $985 | 197 | 3,670 | +6.3% |
| Minnesota | $314 | $1,106 | 164 | 1,288 | +3.9% |
| Nevada | $307 | $862 | 126 | 2,546 | +1.4% |
| Montana | $306 | $798 | 46 | 413 | +1.2% |
| Massachusetts | $304 | $1,268 | 265 | 4,497 | +0.4% |
| Delaware | $302 | $807 | 41 | 1,353 | -0.3% |
| Illinois | $301 | $1,147 | 390 | 5,837 | -0.4% |
| Arizona | $301 | $867 | 352 | 8,447 | -0.6% |
| North Carolina | $297 | $890 | 337 | 5,701 | -1.7% |
| New Mexico | $293 | $978 | 44 | 449 | -3.2% |
| Pennsylvania | $293 | $908 | 471 | 6,982 | -3.3% |
| Maryland | $292 | $852 | 223 | 3,380 | -3.4% |
| Texas | $292 | $872 | 751 | 12,483 | -3.4% |
| Oregon | $292 | $1,070 | 122 | 1,420 | -3.6% |
| Washington | $291 | $969 | 256 | 4,111 | -3.8% |
| Alaska | $289 | $1,307 | 20 | 74 | -4.5% |
| Kentucky | $288 | $750 | 122 | 2,526 | -4.9% |
| South Carolina | $287 | $814 | 201 | 4,010 | -5.3% |
| Michigan | $286 | $877 | 274 | 2,522 | -5.6% |
| Georgia | $279 | $1,010 | 383 | 8,578 | -7.9% |
| Iowa | $275 | $1,056 | 84 | 820 | -9.1% |
| Utah | $275 | $757 | 118 | 1,138 | -9.1% |
| Connecticut | $275 | $1,109 | 119 | 1,550 | -9.2% |
| Vermont | $274 | $814 | 21 | 122 | -9.4% |
| Ohio | $273 | $812 | 356 | 4,206 | -9.7% |
| West Virginia | $273 | $910 | 62 | 1,043 | -9.9% |
| Tennessee | $263 | $746 | 230 | 4,060 | -12.9% |
| Indiana | $263 | $927 | 192 | 3,899 | -13.1% |
| Nebraska | $263 | $998 | 78 | 604 | -13.1% |
| New Hampshire | $260 | $1,167 | 62 | 753 | -13.9% |
| Wisconsin | $257 | $1,564 | 161 | 1,673 | -15.1% |
| Missouri | $256 | $1,044 | 237 | 4,409 | -15.3% |
| Idaho | $256 | $796 | 73 | 660 | -15.3% |
| Rhode Island | $250 | $1,193 | 47 | 692 | -17.2% |
| Louisiana | $249 | $802 | 120 | 1,506 | -17.7% |
| North Dakota | $246 | $750 | 36 | 600 | -18.7% |
| Kansas | $243 | $920 | 136 | 2,212 | -19.6% |
| Alabama | $242 | $830 | 193 | 4,020 | -20.0% |
| Mississippi | $239 | $1,048 | 117 | 1,074 | -20.8% |
| Oklahoma | $239 | $842 | 102 | 1,285 | -21.1% |
| South Dakota | $233 | $636 | 44 | 748 | -22.9% |
| Wyoming | $225 | $896 | 19 | 710 | -25.7% |
| Maine | $219 | $792 | 28 | 226 | -27.7% |
| Arkansas | $215 | $744 | 100 | 2,215 | -29.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber
🏥 See Medicare hospital data on OpenMedicare