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
Newark, NJ
See all hospitals reporting CPT 10120 →Price type
Newark Beth Israel Medical Center’s median price of $811 is 72% above the median hospital's median price ($472), higher than 77% 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, 26 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 fee schedule · outpatient | $81.54 | $81.54 | $81.54 – $81.54 |
| 2 | UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges | $197.34 | $197.34 | $197.34 – $197.34 |
| 3 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $216.20 | $216.20 | $216.20 – $216.20 |
| 4 | Bcbs Nj nj health fee schedule · outpatient | $238.84 | $238.84 | $238.84 – $238.84 |
| 5 | Aetna medicare fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 6 | Bcbs Nj medicare advantage fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 7 | Clover medicare advantage fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 8 | Humana medicare fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 9 | Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges | $452.92 | $452.92 | $452.92 – $452.92 |
| 10 | UnitedHealthcare medicare fee schedule · outpatient | $457.20 | $457.20 | $457.20 – $457.20 |
| 11 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $521.40 | $521.40 | $521.40 – $521.40 |
| 12 | Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges | $564.06 | $564.06 | $564.06 – $564.06 |
| 13 | Bcbs Nj managed percent of total billed charges · outpatientfrom % of charges | $600.65 | $600.65 | $600.65 – $600.65 |
| 14 | Bcbs Nj non-managed percent of total billed charges · outpatientfrom % of charges | $606.30 | $606.30 | $606.30 – $606.30 |
| 15 | Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges | $738.65 | $738.65 | $738.65 – $738.65 |
| 16 | Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges | $811.03 | $811.03 | $811.03 – $811.03 |
| 17 | WellCare ambetter health commercial fee schedule · outpatient | $892.00 | $892.00 | $892.00 – $892.00 |
| 18 | Cigna local plus case rate · outpatient | $1,519 | $1,519 | $1,519 – $1,519 |
| 19 | Cigna hmo case rate · outpatient | $1,930 | $1,930 | $1,930 – $1,930 |
| 20 | Cigna ppo case rate · outpatient | $2,033 | $2,033 | $2,033 – $2,033 |
| 21 | UnitedHealthcare oxford metro case rate · outpatient | $2,626 | $2,626 | $2,626 – $2,626 |
| 22 | UnitedHealthcare nexus case rate · outpatient | $2,788 | $2,788 | $2,788 – $2,788 |
| 23 | UnitedHealthcare oxford commercial case rate · outpatient | $3,089 | $3,089 | $3,089 – $3,089 |
| 24 | UnitedHealthcare commercial case rate · outpatient | $3,280 | $3,280 | $3,280 – $3,280 |
| 25 | Aetna hmo case rate · outpatient | $4,049 | $4,049 | $4,049 – $4,049 |
Last updated: Mar 4, 2026
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