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 FNA W/O IMAGE GUIDANCE
Rowlett, TX
See all hospitals reporting CPT 10021 →Price type
Baylor Scott & White Medical Center - Lake Pointe’s median price of $507 is 9% above the median hospital's median price ($463), higher than 58% of the 2,193 hospitals reporting CPT 10021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $51.77 | $51.77 | $51.77 – $51.77 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $55.39 | $55.39 | $55.39 – $55.39 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $328.52 | $328.52 | $319.39 – $337.64 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $387.95 | $387.95 | $387.95 – $387.95 |
| 5 | Humana medicare facility · fee schedule · outpatient | $408.37 | $408.37 | $408.37 – $408.37 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $428.79 | $428.79 | $428.79 – $428.79 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $428.79 | $428.79 | $428.79 – $428.79 |
| 8 | Superior Healthplan medicare facility · fee schedule · outpatient | $428.79 | $428.79 | $428.79 – $428.79 |
| 9 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $449.89 | $449.89 | $449.89 – $449.89 |
| 10 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $449.89 | $449.89 | $449.89 – $449.89 |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $457.37 | $457.37 | $457.37 – $457.37 |
| 12 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $465.40 | $465.40 | $456.27 – $474.53 |
| 13 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $490.04 | $490.04 | $490.04 – $490.04 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $501.90 | $501.90 | $501.90 – $501.90 |
| 15 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $512.50 | $512.50 | $512.50 – $512.50 |
| 16 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $529.28 | $529.28 | $529.28 – $529.28 |
| 17 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $529.28 | $529.28 | $529.28 – $529.28 |
| 18 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $567.51 | $567.51 | $567.51 – $567.51 |
| 19 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $567.51 | $567.51 | $567.51 – $567.51 |
| 20 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $625.10 | $625.10 | $611.41 – $638.78 |
| 21 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $630.57 | $630.57 | $630.57 – $630.57 |
| 22 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $638.78 | $638.78 | $638.78 – $638.78 |
| 23 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $638.78 | $638.78 | $638.78 – $638.78 |
| 24 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $638.78 | $638.78 | $638.78 – $638.78 |
| 25 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $657.04 | $657.04 | $638.78 – $675.29 |
Last updated: Jun 29, 2026
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