What do doctors typically charge for Extensive or Complicated Repair of Surface Wound Reopening?

The nationwide median physician charge for Extensive or Complicated Repair of Surface Wound Reopening (CPT 13160) is $2074.94. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 13160?

The standard insurance baseline reimbursement rate is $719.32. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Extensive or Complicated Repair of Surface Wound Reopening

CPT 13160Medical Service

Extensive or Complicated Repair of Surface Wound Reopening

Extensive or complicated repair of surface wound reopening. Clinical pricing breakdown and utilization metrics across 78 practicing doctors nationwide.

$2074.94

Peer Median Charge

Gross billed rate

$719.32

Standard Baseline

Customary allowable

2.9x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT 13160?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $2074.94. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $719.32 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 13160 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"