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 Smpl
Dallas, TX
See all hospitals reporting CPT 10120 →Price type
Dallas Medical Center’s median price of $406 is 14% below the median hospital's median price ($472), higher than 35% 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: 9 payers, 24 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 | Blue Cross Blue Shield bcbs hmo advantage case rate · outpatient | $286.30 | $286.30 | $286.30 – $286.30 |
| 2 | Blue Cross Blue Shield bcbs hmo case rate · outpatient | $381.38 | $381.38 | $381.38 – $381.38 |
| 3 | Aetna aetna medicare advantage fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 4 | Blue Cross Blue Shield bcbs blue essentials medicare-hmo fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 6 | Blue Cross Blue Shield triwest bcbs fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 7 | Cigna Healthspring cigna healthspring medicare advantage fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 8 | Cigna Healthspring cigna healthspring mmp (dual-eligible) fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 9 | Humana choice care humana medicare advantage fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 10 | Humana humana military tricare fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 11 | Superior Healthplan superior health plan medicare advantage/mmp fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 12 | Tricare tricare fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 13 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 14 | WellCare wellcare medicare advantage fee schedule · outpatient | $406.36 | $406.36 | $406.36 – $406.36 |
| 15 | Cigna Healthspring cigna healthspring medicare advantage ppo fee schedule · outpatient | $418.55 | $418.55 | $418.55 – $418.55 |
| 16 | Blue Cross Blue Shield bcbs ppo case rate · outpatient | $424.12 | $424.12 | $424.12 – $424.12 |
| 17 | Blue Cross Blue Shield bcbs traditional case rate · outpatient | $424.12 | $424.12 | $424.12 – $424.12 |
| 18 | Molina molina medicare advantage/mmp fee schedule · outpatient | $426.68 | $426.68 | $426.68 – $426.68 |
| 19 | UnitedHealthcare uhc commercial all payor case rate · outpatient | $465.00 | $465.00 | $465.00 – $465.00 |
| 20 | Superior Healthplan superior health plan commercial exchange-epo/hmo fee schedule · outpatient | $528.27 | $528.27 | $528.27 – $528.27 |
| 21 | Molina molina exchange fee schedule · outpatient | $629.86 | $629.86 | $629.86 – $629.86 |
| 22 | Aetna aetna exchange fee schedule · outpatient | $670.49 | $670.49 | $670.49 – $670.49 |
| 23 | Aetna aetna commercial case rate · outpatient | $1,497 | $1,497 | $1,094 – $1,900 |
| 24 | Aetna aetna workers compensation case rate · outpatient | $1,497 | $1,497 | $1,094 – $1,900 |
Last updated: Sep 1, 2026
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