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 INC/REMOVAL FB SUBQ SIMPLE
Dodge City, KS
See all hospitals reporting CPT 10120 →Price type
Commonspirit Kansas, Inc.’s median price of $586 is 24% above the median hospital's median price ($472), higher than 64% 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: 8 payers, 19 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 medicare fee schedule · outpatient | $95.71 | $95.71 | $95.71 – $95.71 |
| 2 | Bcbs Ks managed medicare fee schedule · outpatient | $95.71 | $95.71 | $95.71 – $95.71 |
| 3 | Cigna managed medicare fee schedule · outpatient | $95.71 | $95.71 | $95.71 – $95.71 |
| 4 | Humana managed medicare fee schedule · outpatient | $95.71 | $95.71 | $95.71 – $95.71 |
| 5 | Kaiser managed medicare fee schedule · outpatient | $95.71 | $95.71 | $95.71 – $95.71 |
| 6 | Medicare medicare fee schedule · outpatient | $95.71 | $95.71 | $95.71 – $95.71 |
| 7 | Aetna managed medicare other · inpatient | $183.91 | $183.91 | $183.91 – $183.91 |
| 8 | Medicare medicare other · inpatient | $395.73 | $395.73 | $395.73 – $395.73 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $550.87 | $550.87 | $550.87 – $550.87 |
| 10 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $550.87 | $550.87 | $550.87 – $550.87 |
| 11 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $586.03 | $586.03 | $586.03 – $586.03 |
| 12 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $669.75 | $669.75 | $669.75 – $669.75 |
| 13 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $669.75 | $669.75 | $669.75 – $669.75 |
| 14 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $669.75 | $669.75 | $669.75 – $669.75 |
| 15 | Bcbs Ks commercial ppo/hmo percent of total billed charges · outpatientfrom % of charges | $711.61 | $711.61 | $711.61 – $711.61 |
| 16 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $753.47 | $753.47 | $753.47 – $753.47 |
| 17 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $753.47 | $753.47 | $753.47 – $753.47 |
| 18 | Bcbs Ks commercial ppo/hmo other · inpatient | $969.31 | $969.31 | $969.31 – $969.31 |
| 19 | Bcbs Ks managed medicare other · inpatient | $1,172 | $1,172 | $1,172 – $1,172 |
Last updated: Feb 5, 2026
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