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
PR GENIOPLASTY >=2 SLIDING OSTEOT
Rochester, MN
See all hospitals reporting CPT 21122 →Price type
Mayo Clinic’s median price of $8.6k is 43% above the median hospital's median price ($6.0k), higher than 83% of the 1,445 hospitals reporting CPT 21122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 68 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $337 | $337 | — | — | — | $337 – $337 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $354 | $354 | — | — | — | $354 – $354 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $354 | $354 | — | — | — | $354 – $354 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 12 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 14 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 17 | Optum veteran affairs optum [1045] facility · other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 18 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 19 | Ucare ucare msho medicare advantage plan [621] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 20 | Medica medica advantage solution by county medicare advantage plan [793] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 21 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [228] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 22 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 23 | Ucare ucare connect+ medicare advantage plan [1116] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 24 | UnitedHealthcare united healthcare medicare advantage plan [1249] facility · other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 25 | Medica medica advantage solution medicare advantage plan [1206] facility · other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Aug 14, 2026
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