Foreign body removal at Grand Itasca Clinic and Hospital

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC REMOVE FOREIGN BODY COMPLICATED

Grand Rapids, MN

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Pricing by billing methodology

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How this price compares nationally

Grand Itasca Clinic and Hospital’s median price of $770 is 57% below the median hospital's median price ($1.8k), higher than 18% of the 2,260 hospitals reporting CPT 10121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10121 at Grand Itasca Clinic and Hospital

Negotiated rates from the hospital’s own file: 8 payers, 40 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	Medica accessability professional · fee schedule · both	$133.49	$133.49	$133.49 – $133.49
2	Medica managed medicaid professional · fee schedule · both	$133.49	$133.49	$133.49 – $133.49
3	Medica medicare advantage non-snp professional · fee schedule · both	$133.49	$133.49	$133.49 – $133.49
4	Ucare pmap professional · fee schedule · both	$137.83	$137.83	$137.83 – $137.83
5	Bcbs Mn pmap professional · fee schedule · both	$142.83	$142.83	$142.83 – $142.83
6	Medica msho-dual/medicare advantage snp professional · fee schedule · both	$169.89	$169.89	$169.89 – $169.89
7	Sanford Health Plan medicare advantage professional · fee schedule · both	$169.89	$169.89	$169.89 – $169.89
8	UnitedHealthcare medicare advantage professional · fee schedule · both	$169.89	$169.89	$169.89 – $169.89
9	WellCare medicare advantage professional · fee schedule · both	$169.89	$169.89	$169.89 – $169.89
10	Bcbs Mn medicare advantage professional · fee schedule · both	$176.69	$176.69	$176.69 – $176.69
11	Ucare medicare advantage/msho professional · fee schedule · both	$178.38	$178.38	$178.38 – $178.38
12	Medica managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$354.32	$354.32	$354.32 – $354.32
13	Medica accessability facility · percent of total billed charges · outpatientfrom % of charges	$387.18	$387.18	$387.18 – $387.18
14	Ucare individual and family plans professional · fee schedule · both	$408.14	$408.14	$408.14 – $408.14
15	Medica msho-dual/medicare advantage snp facility · percent of total billed charges · outpatientfrom % of charges	$421.07	$421.07	$421.07 – $421.07
16	Medica commercial professional · fee schedule · both	$490.04	$490.04	$490.04 – $490.04
17	UnitedHealthcare commercial professional · fee schedule · both	$554.77	$554.77	$554.77 – $554.77
18	Bcbs Mn aware federal professional · fee schedule · both	$578.39	$578.39	$578.39 – $578.39
19	Bcbs Mn aware/blue plus professional · fee schedule · both	$588.80	$588.80	$588.80 – $588.80
20	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$604.90	$604.90	$604.90 – $604.90
21	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$604.90	$604.90	$604.90 – $604.90
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$671.14	$671.14	$671.14 – $671.14
23	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$825.09	$825.09	$825.09 – $825.09
24	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$842.14	$842.14	$842.14 – $842.14
25	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$842.14	$842.14	$842.14 – $842.14

Page 1 of 2 · 40 rates

Last updated: Jan 28, 2026

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