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
PF I&R FB TISSUE SUBQ COMPLICATED
Page, AZ
See all hospitals reporting CPT 10121 →Price type
Page Hospital’s median price of $315 is 83% below the median hospital's median price ($1.8k), higher than 7% 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: 7 payers, 22 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 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $163.16 | $163.16 | $163.16 – $163.16 |
| 2 | Humana medicare advantage facility · fee schedule · outpatient | $179.82 | $179.82 | $179.82 – $179.82 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $240.02 | $240.02 | $240.02 – $240.02 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $254.93 | $254.93 | $254.93 – $254.93 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $254.93 | $254.93 | $254.93 – $254.93 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $254.93 | $254.93 | $254.93 – $254.93 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $254.93 | $254.93 | $254.93 – $254.93 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $280.42 | $280.42 | $280.42 – $280.42 |
| 9 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $284.66 | $284.66 | $284.66 – $284.66 |
| 10 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $303.61 | $303.61 | $303.61 – $303.61 |
| 11 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $318.76 | $318.76 | $318.76 – $318.76 |
| 12 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $346.80 | $346.80 | $346.80 – $346.80 |
| 13 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $349.21 | $349.21 | $349.21 – $349.21 |
| 14 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $379.51 | $379.51 | $379.51 – $379.51 |
| 15 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $379.51 | $379.51 | $379.51 – $379.51 |
| 16 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $379.51 | $379.51 | $379.51 – $379.51 |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $420.63 | $420.63 | $420.63 – $420.63 |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $428.57 | $428.57 | $428.57 – $428.57 |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $428.57 | $428.57 | $428.57 – $428.57 |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $436.75 | $436.75 | $436.75 – $436.75 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $443.00 | $443.00 | $443.00 – $443.00 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $443.00 | $443.00 | $443.00 – $443.00 |
Last updated: Mar 2, 2026
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