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
HC INC & REM FB SQ COMPL
Waterloo, IA
See all hospitals reporting CPT 10121 →Price type
Allen Memorial Hospital Corporation’s median price of $1.1k is 38% below the median hospital's median price ($1.8k), higher than 24% 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, 25 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 | Aetna medicare advantage fee schedule · both | $165.86 | $165.86 | $165.86 – $165.86 |
| 2 | Molina medicare advantage fee schedule · both | $169.18 | $169.18 | $169.18 – $169.18 |
| 3 | Wellmark medicare advantage fee schedule · both | $169.18 | $169.18 | $169.18 – $169.18 |
| 4 | Humana medicare advantage fee schedule · both | $174.15 | $174.15 | $174.15 – $174.15 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $174.15 | $174.15 | $174.15 – $174.15 |
| 6 | Wellmark commercial fee schedule · both | $329.00 | $329.00 | $329.00 – $329.00 |
| 7 | Wellmark hmo fee schedule · both | $329.00 | $329.00 | $329.00 – $329.00 |
| 8 | Wellmark ppo fee schedule · both | $387.10 | $387.10 | $387.10 – $387.10 |
| 9 | Aetna hmo fee schedule · both | $418.32 | $418.32 | $418.32 – $418.32 |
| 10 | Cigna commercial fee schedule · both | $442.18 | $442.18 | $442.18 – $442.18 |
| 11 | Aetna ppo fee schedule · both | $498.59 | $498.59 | $498.59 – $498.59 |
| 12 | UnitedHealthcare hmo fee schedule · both | $574.63 | $574.63 | $574.63 – $574.63 |
| 13 | UnitedHealthcare ppo fee schedule · both | $574.63 | $574.63 | $574.63 – $574.63 |
| 14 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $1,121 | $1,121 | $1,058 – $1,183 |
| 15 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $1,453 | $1,453 | $1,453 – $1,453 |
| 16 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1,453 | $1,453 | $1,453 – $1,453 |
| 17 | Aetna medicare advantage case rate · outpatient | $1,524 | $1,524 | $1,524 – $1,524 |
| 18 | Molina medicare advantage case rate · outpatient | $1,524 | $1,524 | $1,524 – $1,524 |
| 19 | Wellmark medicare advantage case rate · outpatient | $1,524 | $1,524 | $1,524 – $1,524 |
| 20 | Humana medicare advantage case rate · outpatient | $1,569 | $1,569 | $1,569 – $1,569 |
| 21 | UnitedHealthcare medicare advantage case rate · outpatient | $1,569 | $1,569 | $1,569 – $1,569 |
| 22 | Aetna hmo fee schedule · outpatient | $3,598 | $3,598 | $3,598 – $3,598 |
| 23 | Aetna ppo fee schedule · outpatient | $3,743 | $3,743 | $3,743 – $3,743 |
| 24 | UnitedHealthcare hmo fee schedule · outpatient | $4,415 | $4,415 | $4,415 – $4,415 |
| 25 | UnitedHealthcare ppo fee schedule · outpatient | $4,415 | $4,415 | $4,415 – $4,415 |
Last updated: Jan 28, 2026
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