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
PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
Plattsburgh, NY
See all hospitals reporting CPT 10120 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $488 is 3% above the median hospital's median price ($472), higher than 52% 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: 7 payers, 38 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 managed medicaid/essential plans professional · fee schedule · both | $98.44 | $98.44 | $98.44 – $98.44 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $99.19 | $99.19 | $99.19 – $99.19 |
| 3 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $99.19 | $99.19 | $99.19 – $99.19 |
| 4 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $99.19 | $99.19 | $99.19 – $99.19 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $99.19 | $99.19 | $99.19 – $99.19 |
| 6 | Humana tricare professional · fee schedule · both | $99.19 | $99.19 | $99.19 – $99.19 |
| 7 | Blue Cross Blue Shield blue access professional · fee schedule · both | $99.91 | $99.91 | $99.91 – $99.91 |
| 8 | Blue Cross Blue Shield hmo professional · fee schedule · both | $105.79 | $105.79 | $105.79 – $105.79 |
| 9 | Excellus managed medicaid/essential plans professional · fee schedule · both | $111.36 | $111.36 | $111.36 – $111.36 |
| 10 | Blue Cross Blue Shield ind professional · fee schedule · both | $111.66 | $111.66 | $111.66 – $111.66 |
| 11 | Blue Cross Blue Shield ppo professional · fee schedule · both | $117.54 | $117.54 | $117.54 – $117.54 |
| 12 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $119.03 | $119.03 | $119.03 – $119.03 |
| 13 | UnitedHealthcare medicare advantage professional · fee schedule · both | $140.63 | $140.63 | $140.63 – $140.63 |
| 14 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $143.63 | $143.63 | $131.98 – $155.27 |
| 15 | Aetna commercial professional · fee schedule · both | $151.76 | $151.76 | $151.76 – $151.76 |
| 16 | Blue Cross Blue Shield individual network professional · fee schedule · both | $158.70 | $158.70 | $158.70 – $158.70 |
| 17 | Highmark ind/fep professional · fee schedule · both | $167.25 | $167.25 | $167.25 – $167.25 |
| 18 | Highmark ppo/hmo professional · fee schedule · both | $167.25 | $167.25 | $167.25 – $167.25 |
| 19 | Excellus commercial professional · fee schedule · both | $182.48 | $182.48 | $182.48 – $182.48 |
| 20 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $251.35 | $251.35 | $251.35 – $251.35 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $340.76 | $340.76 | $340.76 – $340.76 |
| 22 | Excellus medicare advantage facility · fee schedule · outpatient | $461.50 | $461.50 | $461.50 – $461.50 |
| 23 | Humana tricare facility · fee schedule · outpatient | $463.74 | $463.74 | $463.74 – $463.74 |
| 24 | Aetna medicare advantage facility · fee schedule · outpatient | $488.15 | $488.15 | $488.15 – $488.15 |
| 25 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $488.15 | $488.15 | $488.15 – $488.15 |
Last updated: Apr 28, 2026
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