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 10120 INCN & REMVL FB SUBQ TIS;SMPL
Port Arthur, TX
See all hospitals reporting CPT 10120 →Price type
Christus Health Southeast Texas’s median price of $400 is 15% below the median hospital's median price ($472), higher than 33% 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: 12 payers, 33 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 | Molina chip km fee schedule · outpatient | $90.70 | $90.70 | $90.70 – $90.70 |
| 2 | Molina star km fee schedule · outpatient | $90.70 | $90.70 | $90.70 – $90.70 |
| 3 | Molina star plus km fee schedule · outpatient | $90.70 | $90.70 | $90.70 – $90.70 |
| 4 | Cigna new business case rate · outpatient | $122.00 | $122.00 | $122.00 – $122.00 |
| 5 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $148.49 | $148.49 | $148.49 – $148.49 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $148.49 | $148.49 | $148.49 – $148.49 |
| 7 | Cigna ppo case rate · outpatient | $159.00 | $159.00 | $159.00 – $159.00 |
| 8 | Bcbs Tx heb fee schedule · outpatient | $164.52 | $164.52 | $164.52 – $164.52 |
| 9 | Bcbs Tx ppo fee schedule · outpatient | $176.27 | $176.27 | $176.27 – $176.27 |
| 10 | Bcbs Tx traditional fee schedule · outpatient | $182.68 | $182.68 | $182.68 – $182.68 |
| 11 | Humana choicecare other · outpatient | $217.00 | $217.00 | $217.00 – $217.00 |
| 12 | UnitedHealthcare chip km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 13 | UnitedHealthcare star kid km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 14 | UnitedHealthcare star km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 15 | UnitedHealthcare star plus km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 16 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $313.25 | $313.25 | $234.50 – $392.00 |
| 17 | Aetna mm fee schedule · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 18 | Bcbs Tx mm fee schedule · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 19 | Humana gold choice mm fee schedule · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 20 | Molina medicare adv mm fee schedule · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 21 | UnitedHealthcare mm fee schedule · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 22 | WellCare mm fee schedule · outpatient | $400.18 | $400.18 | $400.18 – $400.18 |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $407.23 | $407.23 | $304.85 – $509.60 |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $407.23 | $407.23 | $304.85 – $509.60 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $407.23 | $407.23 | $304.85 – $509.60 |
Last updated: Jan 13, 2026
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