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
I&D - UPPER EXTREMITY
Indianapolis, IN
See all hospitals reporting CPT 10121 →Price type
Indiana Orthopaedic Hospital Llc’s median price of $4.0k is 122% above the median hospital's median price ($1.8k), higher than 90% 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: 18 payers, 121 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 | Aetna aetna medicare advantage facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 2 | Aetna aetna medicare hmo aetna golden medicare choice facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 3 | Aetna aetna medicare ppo aetna medicare facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 4 | Aetna aetna medicare ppo esa aetna medicare with esa on id card facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 5 | Aetna aetna medicare uaw esa uaw members with esa on id card facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 6 | Aetna aetna medicare uaw ppo uwa members with ppo plan facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 7 | Aetna aetna senior supplemental facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 8 | Aetna aetna senior supplemental insurance facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 9 | Anthem anthem healthy indiana health indiana plan - anthem facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 10 | Anthem anthem hhw - st. francis st francis only facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 11 | Anthem anthem hip - st. francis st. francis only facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 12 | Anthem anthem hoosier care connect facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 13 | Anthem anthem hoosier healthwise hhw - anthem facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 14 | Anthem anthem mediblue access (ppo) mediblue ppo network facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 15 | Anthem anthem mediblue plus (hmo) mediblue hmo network facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 16 | Anthem anthem mediblue select (hmo) mediblue hmo network facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 17 | Anthem anthem medicare hmo anthem medicare advantage hmo facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 18 | Anthem anthem medicare pffs anthem medicare advantage pffs facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 19 | Anthem anthem medicare ppo anthem medicare advantage ppo facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 20 | Anthem anthem presumpt eligbility- st. francis hoosier healthwise - anthem - st. fransic only facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 21 | Blue Cross Blue Shield blue cross hip facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 22 | Cigna cigna healthsprings medicare facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 23 | Cigna cigna medicare supplement facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 24 | Humana humana hmo gold hmo facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
| 25 | Humana humana medicare choice ppo medicare adv facility · other · outpatient | $2,611 | $2,611 | $2,611 – $2,611 |
Last updated: Jun 10, 2026
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