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
Manhattan, KS
See all hospitals reporting CPT 10121 →Price type
Ascension Via Christi Hospital Manhattan, Inc.’s median price of $283 is 84% below the median hospital's median price ($1.8k), higher than 6% 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: 4 payers, 5 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 | UnitedHealthcare 859_medicaid advantage kancare united health care 20250701 fee schedule · outpatient | $269.16 | $269.16 | $269.16 – $269.16 |
| 2 | Aetna 856_medicaid advantage kancare aetna 20250701 fee schedule · outpatient | $279.93 | $279.93 | $279.93 – $279.93 |
| 3 | Tricare 623_tricare outpatient 20230101 fee schedule · both | $1,122 | $1,122 | $1,122 – $1,122 |
| 4 | Blue Cross Blue Shield 843_blue cross blue shield choice mhks 20250101 fee schedule · outpatient | $1,643 | $1,643 | $1,643 – $1,643 |
| 5 | Blue Cross Blue Shield 842_blue cross blue shield cap mhks 20250101 fee schedule · outpatient | $1,729 | $1,729 | $1,729 – $1,729 |
Last updated: Jan 1, 2026
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