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
West Jordan, UT
See all hospitals reporting CPT 10121 →Price type
Catholic Health Initiatives Colorado’s median price of $170 is 91% below the median hospital's median price ($1.8k), higher than 2% 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: 5 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 | Aetna managed medicaid fee schedule · outpatient | $147.37 | $147.37 | $147.37 – $147.37 |
| 2 | Molina managed medicaid fee schedule · outpatient | $147.37 | $147.37 | $147.37 – $147.37 |
| 3 | Humana managed medicare fee schedule · outpatient | $169.93 | $169.93 | $169.93 – $169.93 |
| 4 | Medicare managed medicare fee schedule · outpatient | $169.93 | $169.93 | $169.93 – $169.93 |
| 5 | Medicare medicare fee schedule · outpatient | $169.93 | $169.93 | $169.93 – $169.93 |
| 6 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $371.40 | $371.40 | $371.40 – $371.40 |
| 7 | Regence commercial par fee schedule · outpatient | $1,545 | $1,545 | $1,545 – $1,545 |
| 8 | Regence commercial ppo fee schedule · outpatient | $1,545 | $1,545 | $1,545 – $1,545 |
| 9 | Regence commercial savewell fee schedule · outpatient | $1,545 | $1,545 | $1,545 – $1,545 |
| 10 | Regence commercial uvu fee schedule · outpatient | $1,545 | $1,545 | $1,545 – $1,545 |
Last updated: Feb 11, 2026
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