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 SMPL
Madison, WV
See all hospitals reporting CPT 10120 →Price type
Boone Memorial Hospital’s median price of $111 is 76% below the median hospital's median price ($472), higher than 4% of the 2,522 hospitals reporting CPT 10120. 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, 10 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 | Humana medicare advantage other · outpatient | $53.51 | $53.51 | $53.51 – $53.51 |
| 2 | Aetna default fee schedule · outpatient | $54.60 | $54.60 | $54.60 – $54.60 |
| 3 | Highmark default other · outpatient | $54.60 | $54.60 | $54.60 – $54.60 |
| 4 | Cigna default percent of total billed charges · outpatientfrom % of charges | $145.47 | $145.47 | $145.47 – $145.47 |
| 5 | Humana medicare advantage other · both | $108.93 | $166.83 | $48.29 – $315.29 |
| 6 | Aetna default fee schedule · both | $111.15 | $169.88 | $49.28 – $321.72 |
| 7 | Highmark default other · both | $111.15 | $170.24 | $49.28 – $321.72 |
| 8 | Aetna default percent of total billed charges · outpatientfrom % of charges | $185.25 | $185.25 | $185.25 – $185.25 |
| 9 | Cigna default percent of total billed charges · bothfrom % of charges | $139.88 | $362.31 | $81.31 – $857.15 |
| 10 | Aetna default percent of total billed charges · bothfrom % of charges | $178.13 | $461.38 | $103.55 – $1,092 |
Last updated: Apr 7, 2026
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