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
Newark, NJ
See all hospitals reporting CPT 10121 →Price type
Newark Beth Israel Medical Center’s median price of $2.2k is 20% above the median hospital's median price ($1.8k), higher than 63% 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, 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 | $140.86 | $140.86 | $140.86 – $140.86 |
| 2 | Bcbs Nj nj health fee schedule · outpatient | $460.11 | $460.11 | $460.11 – $460.11 |
| 3 | UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges | $526.64 | $526.64 | $526.64 – $526.64 |
| 4 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $576.96 | $576.96 | $576.96 – $576.96 |
| 5 | Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges | $1,209 | $1,209 | $1,209 – $1,209 |
| 6 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $1,391 | $1,391 | $1,391 – $1,391 |
| 7 | Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges | $1,505 | $1,505 | $1,505 – $1,505 |
| 8 | Bcbs Nj managed percent of total billed charges · outpatientfrom % of charges | $1,603 | $1,603 | $1,603 – $1,603 |
| 9 | Bcbs Nj non-managed percent of total billed charges · outpatientfrom % of charges | $1,618 | $1,618 | $1,618 – $1,618 |
| 10 | Aetna medicare fee schedule · outpatient | $1,818 | $1,818 | $1,818 – $1,818 |
| 11 | Bcbs Nj medicare advantage fee schedule · outpatient | $1,818 | $1,818 | $1,818 – $1,818 |
| 12 | Clover medicare advantage fee schedule · outpatient | $1,818 | $1,818 | $1,818 – $1,818 |
| 13 | Humana medicare fee schedule · outpatient | $1,818 | $1,818 | $1,818 – $1,818 |
| 14 | UnitedHealthcare medicare fee schedule · outpatient | $1,854 | $1,854 | $1,854 – $1,854 |
| 15 | Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges | $1,971 | $1,971 | $1,971 – $1,971 |
| 16 | Cigna local plus case rate · outpatient | $2,001 | $2,001 | $2,001 – $2,001 |
| 17 | Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges | $2,164 | $2,164 | $2,164 – $2,164 |
| 18 | Cigna hmo case rate · outpatient | $2,543 | $2,543 | $2,543 – $2,543 |
| 19 | Cigna ppo case rate · outpatient | $2,678 | $2,678 | $2,678 – $2,678 |
| 20 | WellCare ambetter health commercial fee schedule · outpatient | $3,617 | $3,617 | $3,617 – $3,617 |
| 21 | UnitedHealthcare oxford metro case rate · outpatient | $3,670 | $3,670 | $3,670 – $3,670 |
| 22 | UnitedHealthcare nexus case rate · outpatient | $3,896 | $3,896 | $3,896 – $3,896 |
| 23 | UnitedHealthcare oxford commercial case rate · outpatient | $4,318 | $4,318 | $4,318 – $4,318 |
| 24 | UnitedHealthcare commercial case rate · outpatient | $4,584 | $4,584 | $4,584 – $4,584 |
| 25 | Aetna hmo case rate · outpatient | $4,908 | $4,908 | $4,908 – $4,908 |
Last updated: Mar 4, 2026
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