Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Inc&rmvl fb subq tiss comp
Bangor, ME
See all hospitals reporting CPT 10121 →Price type
Acadia Hospital’s median price of $211 is 88% below the median hospital's median price ($1.8k), higher than 4% of the 2,260 hospitals reporting CPT 10121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Optum commercial professional · fee schedule · outpatient | $121.30 | $121.30 | $99.74 – $142.86 |
| 2 | Aetna mcr advantage professional · fee schedule · outpatient | $162.99 | $162.99 | $134.64 – $191.34 |
| 3 | Anthem mcr advantage professional · fee schedule · outpatient | $162.99 | $162.99 | $134.64 – $191.34 |
| 4 | Optum mcr advantage professional · fee schedule · outpatient | $166.25 | $166.25 | $137.33 – $195.17 |
| 5 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $166.25 | $166.25 | $137.33 – $195.17 |
| 6 | WellCare mcr advantage professional · fee schedule · outpatient | $166.25 | $166.25 | $137.33 – $195.17 |
| 7 | Anthem commercial professional · fee schedule · outpatient | $279.05 | $279.05 | $226.53 – $331.56 |
| 8 | Aetna commercial professional · fee schedule · outpatient | $285.24 | $285.24 | $235.62 – $334.86 |
| 9 | UnitedHealthcare commercial professional · fee schedule · outpatient | $306.67 | $306.67 | $250.07 – $363.27 |
| 10 | Anthem mcr advantage facility · case rate · outpatient | $1,568 | $1,568 | $1,568 – $1,568 |
| 11 | Aetna mcr advantage facility · case rate · outpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 12 | Optum mcr advantage facility · case rate · outpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 13 | UnitedHealthcare mcr advantage facility · case rate · outpatient | $1,599 | $1,599 | $1,599 – $1,599 |
| 14 | WellCare mcr advantage facility · case rate · outpatient | $1,599 | $1,599 | $1,599 – $1,599 |
Last updated: Mar 30, 2026
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