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
Incision & Removal Foreign Body Subq Tiss Simple, Professional
Lebanon, NH
See all hospitals reporting CPT 10120 →Price type
Alice_peck_day_memorial_hospital’s median price of $232 is 51% below the median hospital's median price ($472), higher than 13% 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: 8 payers, 17 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 | Ambetter nh healthy families ambetter fee schedule · outpatient | $12.50 | $12.50 | $12.50 – $12.50 |
| 2 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $149.80 | $149.80 | $149.80 – $149.80 |
| 3 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $149.80 | $149.80 | $149.80 – $149.80 |
| 4 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $209.74 | $209.74 | $209.74 – $209.74 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $213.74 | $213.74 | $213.74 – $213.74 |
| 6 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $218.16 | $218.16 | $218.16 – $218.16 |
| 7 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $218.16 | $218.16 | $218.16 – $218.16 |
| 8 | Amerihealth Caritas amerihealth-caritas nh managed medicaid fee schedule · outpatient | $224.54 | $224.54 | $224.54 – $224.54 |
| 9 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $232.10 | $232.10 | $232.10 – $232.10 |
| 10 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $234.22 | $234.22 | $234.22 – $234.22 |
| 11 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $238.16 | $238.16 | $238.16 – $238.16 |
| 12 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $244.82 | $244.82 | $244.82 – $244.82 |
| 13 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $247.85 | $247.85 | $247.85 – $247.85 |
| 14 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $259.67 | $259.67 | $259.67 – $259.67 |
| 15 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $269.67 | $269.67 | $269.67 – $269.67 |
| 16 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $272.70 | $272.70 | $272.70 – $272.70 |
| 17 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $315.12 | $315.12 | $315.12 – $315.12 |
Last updated: Jan 1, 2026
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