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
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Syracuse, NY
See all hospitals reporting CPT 10120 →Price type
Crouse Hospital’s median price of $507 is 7% above the median hospital's median price ($472), higher than 55% 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: 6 payers, 17 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 | Excellus govt programs/ special products fee schedule · outpatient | $283.85 | $283.85 | $283.85 – $283.85 |
| 2 | Molina medicaid hmo fee schedule · outpatient | $283.85 | $283.85 | $283.85 – $283.85 |
| 3 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $283.85 | $283.85 | $283.85 – $283.85 |
| 4 | UnitedHealthcare medicaid fee schedule · outpatient | $283.85 | $283.85 | $283.85 – $283.85 |
| 5 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $283.85 | $283.85 | $283.85 – $283.85 |
| 6 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $340.62 | $340.62 | $340.62 – $340.62 |
| 7 | Excellus medicare advantage fee schedule · outpatient | $443.15 | $443.15 | $443.15 – $443.15 |
| 8 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $463.33 | $463.33 | $463.33 – $463.33 |
| 9 | Aetna medicare fee schedule · outpatient | $507.45 | $507.45 | $507.45 – $507.45 |
| 10 | Humana medicare advantage fee schedule · outpatient | $507.45 | $507.45 | $507.45 – $507.45 |
| 11 | UnitedHealthcare medicare fee schedule · outpatient | $507.45 | $507.45 | $507.45 – $507.45 |
| 12 | WellCare medicare advantage fee schedule · outpatient | $532.82 | $532.82 | $532.82 – $532.82 |
| 13 | Molina essential fee schedule · outpatient | $638.66 | $638.66 | $638.66 – $638.66 |
| 14 | Excellus bcbs fee schedule · outpatient | $911.32 | $911.32 | $911.32 – $911.32 |
| 15 | Excellus hospital blue fee schedule · outpatient | $911.32 | $911.32 | $911.32 – $911.32 |
| 16 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $6,180 | $6,180 | $6,180 – $6,180 |
| 17 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $6,180 | $6,180 | $6,180 – $6,180 |
Last updated: May 19, 2026
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