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
HCHG 10121 INC&REMOVAL FB COMPLICATED
West Union, IA
See all hospitals reporting CPT 10121 →Price type
Gundersen Palmer Lutheran Hospital and Clinic Inc’s median price of $549 is 70% below the median hospital's median price ($1.8k), higher than 14% 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: 7 payers, 16 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 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $495.50 | $495.50 | $495.50 – $495.50 |
| 2 | Wellmark all products facility · percent of total billed charges · outpatientfrom % of charges | $509.49 | $509.49 | $509.49 – $509.49 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $519.48 | $519.48 | $519.48 – $519.48 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $519.48 | $519.48 | $519.48 – $519.48 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $519.48 | $519.48 | $519.48 – $519.48 |
| 6 | Wellmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $519.48 | $519.48 | $519.48 – $519.48 |
| 7 | Molina managed medicaid facility · other · outpatient | $543.65 | $543.65 | $543.65 – $543.65 |
| 8 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $549.45 | $549.45 | $549.45 – $549.45 |
| 9 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $549.45 | $549.45 | $549.45 – $549.45 |
| 10 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $549.45 | $549.45 | $549.45 – $549.45 |
| 11 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $799.20 | $799.20 | $799.20 – $799.20 |
| 12 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $819.18 | $819.18 | $819.18 – $819.18 |
| 13 | MultiPlan healtheos plus facility · percent of total billed charges · outpatientfrom % of charges | $879.12 | $879.12 | $879.12 – $879.12 |
| 14 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · outpatientfrom % of charges | $929.07 | $929.07 | $929.07 – $929.07 |
| 15 | Wellmark hmo facility · case rate · outpatient | $2,853 | $2,853 | $2,853 – $2,853 |
| 16 | Wellmark indemnity/ppo facility · case rate · outpatient | $3,133 | $3,133 | $3,133 – $3,133 |
Last updated: Jun 27, 2026
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