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, COMP
Park Ridge, IL
See all hospitals reporting CPT 10121 →Price type
Advocate Lutheran General Hospital’s median price of $2.5k is 39% above the median hospital's median price ($1.8k), higher than 71% 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: 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 | $2,449 | $2,449 | $2,449 – $2,449 |
| 5 | Molina medicare advantage case rate · outpatient | $2,449 | $2,449 | $2,449 – $2,449 |
| 6 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $2,523 | $2,523 | $2,523 – $2,523 |
| 7 | Oscar medicare advantage case rate · outpatient | $2,533 | $2,533 | $2,533 – $2,533 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $2,564 | $2,564 | $2,564 – $2,564 |
| 9 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $2,606 | $2,606 | $2,505 – $2,707 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,776 | $2,776 | $2,776 – $2,776 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,776 | $2,776 | $2,776 – $2,776 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2,849 | $2,849 | $2,849 – $2,849 |
Last updated: Nov 4, 2025
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