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 Comp, Professional
Lebanon, NH
See all hospitals reporting CPT 10121 →Price type
Alice_peck_day_memorial_hospital’s median price of $380 is 79% below the median hospital's median price ($1.8k), higher than 10% 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, 16 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 | $57.00 | $57.00 | $57.00 – $57.00 |
| 2 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $242.75 | $242.75 | $242.75 – $242.75 |
| 3 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $242.75 | $242.75 | $242.75 – $242.75 |
| 4 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $339.87 | $339.87 | $339.87 – $339.87 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $346.35 | $346.35 | $346.35 – $346.35 |
| 6 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $353.52 | $353.52 | $353.52 – $353.52 |
| 7 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $353.52 | $353.52 | $353.52 – $353.52 |
| 8 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $376.11 | $376.11 | $376.11 – $376.11 |
| 9 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $379.54 | $379.54 | $379.54 – $379.54 |
| 10 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $385.93 | $385.93 | $385.93 – $385.93 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $396.73 | $396.73 | $396.73 – $396.73 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $401.64 | $401.64 | $401.64 – $401.64 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $420.79 | $420.79 | $420.79 – $420.79 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $436.99 | $436.99 | $436.99 – $436.99 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $441.90 | $441.90 | $441.90 – $441.90 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $510.64 | $510.64 | $510.64 – $510.64 |
Last updated: Jan 1, 2026
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