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
Inc&rmvl fb subq tiss comp
Syracuse, NY
See all hospitals reporting CPT 10121 →Price type
Crouse Hospital’s median price of $2.1k is 14% above the median hospital's median price ($1.8k), higher than 60% 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: 6 payers, 14 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 | $1,090 | $1,090 | $1,090 – $1,090 |
| 2 | Molina medicaid hmo fee schedule · outpatient | $1,090 | $1,090 | $1,090 – $1,090 |
| 3 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $1,090 | $1,090 | $1,090 – $1,090 |
| 4 | UnitedHealthcare medicaid fee schedule · outpatient | $1,090 | $1,090 | $1,090 – $1,090 |
| 5 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $1,090 | $1,090 | $1,090 – $1,090 |
| 6 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $1,308 | $1,308 | $1,308 – $1,308 |
| 7 | Excellus medicare advantage fee schedule · outpatient | $1,800 | $1,800 | $1,800 – $1,800 |
| 8 | Aetna medicare fee schedule · outpatient | $2,062 | $2,062 | $2,062 – $2,062 |
| 9 | Humana medicare advantage fee schedule · outpatient | $2,062 | $2,062 | $2,062 – $2,062 |
| 10 | UnitedHealthcare medicare fee schedule · outpatient | $2,062 | $2,062 | $2,062 – $2,062 |
| 11 | WellCare medicare advantage fee schedule · outpatient | $2,165 | $2,165 | $2,165 – $2,165 |
| 12 | Molina essential fee schedule · outpatient | $2,453 | $2,453 | $2,453 – $2,453 |
| 13 | Excellus bcbs fee schedule · outpatient | $3,703 | $3,703 | $3,703 – $3,703 |
| 14 | Excellus hospital blue fee schedule · outpatient | $3,703 | $3,703 | $3,703 – $3,703 |
Last updated: May 19, 2026
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