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 FAC 10121 INCN & REMVL FB SUBQ TIS;COMPLICATED
Port Arthur, TX
See all hospitals reporting CPT 10121 →Price type
Christus Health Southeast Texas’s median price of $1.6k is 10% below the median hospital's median price ($1.8k), higher than 37% 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: 12 payers, 36 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 chip km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 2 | UnitedHealthcare star kid km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 3 | UnitedHealthcare star km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 4 | UnitedHealthcare star plus km case rate · outpatient | $297.19 | $297.19 | $297.19 – $297.19 |
| 5 | Molina chip km fee schedule · outpatient | $510.77 | $510.77 | $510.77 – $510.77 |
| 6 | Molina star km fee schedule · outpatient | $510.77 | $510.77 | $510.77 – $510.77 |
| 7 | Molina star plus km fee schedule · outpatient | $510.77 | $510.77 | $510.77 – $510.77 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1,908 | $1,152 | $145.00 – $1,908 |
| 9 | Bcbs Tx hmo fee schedule · outpatient | $1,908 | $1,159 | $161.00 – $1,908 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $2,114 | $1,277 | $161.00 – $2,114 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $2,265 | $1,372 | $181.00 – $2,265 |
| 12 | Humana choicecare per diem · outpatient | $1,414 | $1,414 | $1,414 – $1,414 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $2,347 | $1,424 | $192.00 – $2,347 |
| 14 | Aetna mm fee schedule · outpatient | $1,623 | $1,623 | $1,623 – $1,623 |
| 15 | Bcbs Tx mm fee schedule · outpatient | $1,623 | $1,623 | $1,623 – $1,623 |
| 16 | Humana gold choice mm fee schedule · outpatient | $1,623 | $1,623 | $1,623 – $1,623 |
| 17 | Molina medicare adv mm fee schedule · outpatient | $1,623 | $1,623 | $1,623 – $1,623 |
| 18 | UnitedHealthcare mm fee schedule · outpatient | $1,623 | $1,623 | $1,623 – $1,623 |
| 19 | WellCare mm fee schedule · outpatient | $1,623 | $1,623 | $1,623 – $1,623 |
| 20 | Devoted mm fee schedule · outpatient | $1,753 | $1,753 | $1,753 – $1,753 |
| 21 | UnitedHealthcare hix case rate · outpatient | $1,863 | $1,863 | $1,863 – $1,863 |
| 22 | Aetna new business case rate · outpatient | $1,935 | $1,935 | $1,935 – $1,935 |
| 23 | Humana choicecare other · outpatient | $2,040 | $2,040 | $2,040 – $2,040 |
| 24 | Aetna epo case rate · outpatient | $2,151 | $2,151 | $2,151 – $2,151 |
| 25 | Aetna hmo case rate · outpatient | $2,151 | $2,151 | $2,151 – $2,151 |
Last updated: Jan 13, 2026
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