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
INCISE & REMOVE FB SQ, SIMPLE
Park Ridge, IL
See all hospitals reporting CPT 10120 →Price type
Advocate Lutheran General Hospital’s median price of $625 is 32% above the median hospital's median price ($472), higher than 67% of the 2,522 hospitals reporting CPT 10120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 12 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 | Cigna commercial case rate · outpatient | $97.00 | $97.00 | $94.00 – $100.00 |
| 2 | UnitedHealthcare commercial case rate · outpatient | $98.00 | $108.67 | $84.00 – $144.00 |
| 3 | UnitedHealthcare hmo case rate · outpatient | $166.00 | $166.00 | $166.00 – $166.00 |
| 4 | Ambetter medicare advantage case rate · outpatient | $603.89 | $603.89 | $603.89 – $603.89 |
| 5 | Molina medicare advantage case rate · outpatient | $603.89 | $603.89 | $603.89 – $603.89 |
| 6 | Oscar medicare advantage case rate · outpatient | $624.72 | $624.72 | $624.72 – $624.72 |
| 7 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $676.11 | $676.11 | $676.11 – $676.11 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $687.27 | $687.27 | $687.27 – $687.27 |
| 9 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $698.43 | $698.43 | $671.46 – $725.40 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $744.00 | $744.00 | $744.00 – $744.00 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $744.00 | $744.00 | $744.00 – $744.00 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $763.53 | $763.53 | $763.53 – $763.53 |
Last updated: Nov 4, 2025
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