CPT 13101 Surgery - Integumentary

How Much Does Complex Repair of Trunk 2.6-7.5 Cm Cost?

Also known as: Cmplx rpr trunk 2.6-7.5 cm (CPT 13101)

Complex repair of a wound on the trunk (body) that is 2.6 to 7.5 cm.

The total estimated cost of Complex Repair of Trunk 2.6-7.5 Cm (CPT 13101) is $530 to $861, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $210.

Total Estimated Cost of Care

$530 — $861

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$210
Hospital Facility Fee
$420
Anesthesia (est.)
$32
Important: The physician fee of $210 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$210
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$390
Non-facility setting

Patient Guide: Complex Repair of Trunk 2.6-7.5 Cm

What you need to know before your appointment

What to Expect

A detailed layered repair of a larger wound, involving careful cleaning, alignment, and closure of multiple tissue layers.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Larger deep laceration on the body, complex wound requiring meticulous repair

How to Prepare

Apply pressure to control bleeding. Keep the area clean and follow wound care instructions after repair.

Procedures Commonly Done Together

These procedures are frequently performed alongside Cmplx rpr trunk 2.6-7.5 cm

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How to Reduce Your Cost for Cmplx rpr trunk 2.6-7.5 cm

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($390) differs from the facility rate ($210). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

3.41
Work RVU
2.48
Practice Expense RVU
0.40
Malpractice RVU
11.69
Total RVU

Payment = Total RVU (11.69) x CF ($33.40) = $390

Frequently Asked Questions

How much does Cmplx rpr trunk 2.6-7.5 cm cost?

The Medicare facility rate for Cmplx rpr trunk 2.6-7.5 cm is $210. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Cmplx rpr trunk 2.6-7.5 cm cost without insurance?

Without insurance, the cost of Cmplx rpr trunk 2.6-7.5 cm can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Cmplx rpr trunk 2.6-7.5 cm?

Most commercial health insurance plans and Medicare cover Cmplx rpr trunk 2.6-7.5 cm when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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