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 COMP
Long Branch, NJ
See all hospitals reporting CPT 10121 →Price type
Monmouth Medical Center’s median price of $3.2k is 75% above the median hospital's median price ($1.8k), higher than 83% 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: 8 payers, 25 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 | Bcbs Nj nj health fee schedule · outpatient | $501.38 | $501.38 | $501.38 – $501.38 |
| 2 | UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges | $1,095 | $1,095 | $1,095 – $1,095 |
| 3 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 4 | Aetna medicare fee schedule · outpatient | $1,793 | $1,793 | $1,793 – $1,793 |
| 5 | Bcbs Nj medicare advantage fee schedule · outpatient | $1,793 | $1,793 | $1,793 – $1,793 |
| 6 | Clover medicare advantage fee schedule · outpatient | $1,793 | $1,793 | $1,793 – $1,793 |
| 7 | Humana medicare fee schedule · outpatient | $1,793 | $1,793 | $1,793 – $1,793 |
| 8 | UnitedHealthcare medicare fee schedule · outpatient | $1,806 | $1,806 | $1,806 – $1,806 |
| 9 | Cigna local plus case rate · outpatient | $2,491 | $2,491 | $2,491 – $2,491 |
| 10 | Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges | $2,540 | $2,540 | $2,540 – $2,540 |
| 11 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $2,645 | $2,645 | $2,645 – $2,645 |
| 12 | Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges | $2,886 | $2,886 | $2,886 – $2,886 |
| 13 | Bcbs Nj managed percent of total billed charges · outpatientfrom % of charges | $3,058 | $3,058 | $3,058 – $3,058 |
| 14 | Bcbs Nj non-managed percent of total billed charges · outpatientfrom % of charges | $3,087 | $3,087 | $3,087 – $3,087 |
| 15 | Cigna hmo case rate · outpatient | $3,165 | $3,165 | $3,165 – $3,165 |
| 16 | Cigna ppo case rate · outpatient | $3,334 | $3,334 | $3,334 – $3,334 |
| 17 | UnitedHealthcare oxford metro case rate · outpatient | $3,417 | $3,417 | $3,417 – $3,417 |
| 18 | WellCare ambetter health commercial fee schedule · outpatient | $3,569 | $3,569 | $3,569 – $3,569 |
| 19 | UnitedHealthcare nexus case rate · outpatient | $3,845 | $3,845 | $3,845 – $3,845 |
| 20 | UnitedHealthcare oxford commercial case rate · outpatient | $4,020 | $4,020 | $4,020 – $4,020 |
| 21 | Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges | $4,150 | $4,150 | $4,150 – $4,150 |
| 22 | Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges | $4,263 | $4,263 | $4,263 – $4,263 |
| 23 | UnitedHealthcare commercial case rate · outpatient | $4,523 | $4,523 | $4,523 – $4,523 |
| 24 | Aetna hmo case rate · outpatient | $5,153 | $5,153 | $5,153 – $5,153 |
| 25 | Aetna ppo case rate · outpatient | $5,153 | $5,153 | $5,153 – $5,153 |
Last updated: Mar 4, 2026
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