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 SMPL
Lakewood, NJ
See all hospitals reporting CPT 10120 →Price type
Monmouth Medical Center Southern Campus’s median price of $2.4k is 418% above the median hospital's median price ($472), higher than 95% of the 2,522 hospitals reporting CPT 10120. 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, 21 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 community plan percent of total billed charges · outpatientfrom % of charges | $198.58 | $198.58 | $198.58 – $198.58 |
| 2 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $217.48 | $217.48 | $217.48 – $217.48 |
| 3 | Bcbs Nj nj health fee schedule · outpatient | $324.54 | $324.54 | $324.54 – $324.54 |
| 4 | Aetna medicare fee schedule · outpatient | $436.64 | $436.64 | $436.64 – $436.64 |
| 5 | Bcbs Nj medicare advantage fee schedule · outpatient | $436.64 | $436.64 | $436.64 – $436.64 |
| 6 | Clover medicare advantage fee schedule · outpatient | $436.64 | $436.64 | $436.64 – $436.64 |
| 7 | Humana medicare fee schedule · outpatient | $436.64 | $436.64 | $436.64 – $436.64 |
| 8 | UnitedHealthcare medicare fee schedule · outpatient | $445.37 | $445.37 | $445.37 – $445.37 |
| 9 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $644.40 | $644.40 | $644.40 – $644.40 |
| 10 | WellCare ambetter health commercial fee schedule · outpatient | $868.91 | $868.91 | $868.91 – $868.91 |
| 11 | Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges | $1,024 | $1,024 | $1,024 – $1,024 |
| 12 | Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges | $1,043 | $1,043 | $1,043 – $1,043 |
| 13 | Cigna local plus case rate · outpatient | $2,101 | $2,101 | $2,101 – $2,101 |
| 14 | UnitedHealthcare oxford metro case rate · outpatient | $2,445 | $2,445 | $2,445 – $2,445 |
| 15 | Cigna hmo case rate · outpatient | $2,670 | $2,670 | $2,670 – $2,670 |
| 16 | UnitedHealthcare nexus case rate · outpatient | $2,751 | $2,751 | $2,751 – $2,751 |
| 17 | Cigna ppo case rate · outpatient | $2,812 | $2,812 | $2,812 – $2,812 |
| 18 | UnitedHealthcare oxford commercial case rate · outpatient | $2,877 | $2,877 | $2,877 – $2,877 |
| 19 | UnitedHealthcare commercial case rate · outpatient | $3,236 | $3,236 | $3,236 – $3,236 |
| 20 | Aetna hmo case rate · outpatient | $4,540 | $4,540 | $4,540 – $4,540 |
| 21 | Aetna ppo case rate · outpatient | $4,540 | $4,540 | $4,540 – $4,540 |
Last updated: Mar 3, 2026
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