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
INC&RMVL FB SUBQ TISS COMP
Fort Mill, SC
See all hospitals reporting CPT 10121 →Price type
Amisub of South Carolina, Inc.’s median price of $2.3k is 27% above the median hospital's median price ($1.8k), higher than 65% 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: 6 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 | Blue Cross Blue Shield bluechoice - medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | Humana humana medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 3 | Molina molina managed medicaid program fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 4 | UnitedHealthcare united healthcare exchange case rate · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 5 | UnitedHealthcare united healthcare non options ppo case rate · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 6 | UnitedHealthcare united healthcare options ppo case rate · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 7 | Ambetter ambetter by absolute hix fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 8 | Ambetter ambetter by absolute exchange hix fee schedule · outpatient | $1,567 | $1,567 | $1,567 – $1,567 |
| 9 | Aetna aetna us healthcare of the carolinas hmo/piedmont medical center case rate · outpatient | $3,000 | $3,000 | $3,000 – $3,000 |
| 10 | Aetna aetna us healthcare of the carolinas ppo/piedmont medical ctr case rate · outpatient | $3,000 | $3,000 | $3,000 – $3,000 |
| 11 | UnitedHealthcare united healthcare of nc inc case rate · outpatient | $3,119 | $3,119 | $3,119 – $3,119 |
| 12 | Blue Cross Blue Shield bluechoice healthplan state employee fee schedule · outpatient | $3,353 | $3,353 | $3,353 – $3,353 |
| 13 | Blue Cross Blue Shield blue cross state fee schedule · outpatient | $3,384 | $3,384 | $3,384 – $3,384 |
| 14 | Blue Cross Blue Shield bcbs preferred blue ppo fee schedule · outpatient | $5,075 | $5,075 | $5,075 – $5,075 |
| 15 | Blue Cross Blue Shield bluechoice healthplan of sc fee schedule · outpatient | $5,075 | $5,075 | $5,075 – $5,075 |
| 16 | Aetna aetna commercial fee schedule · outpatient | $6,051 | $6,051 | $6,051 – $6,051 |
Last updated: Apr 15, 2026
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