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
HC MAPS FB REMOVALINC/REM SUBC SMPLE
Philadelphia, PA
See all hospitals reporting CPT 10120 →Price type
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian 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: 15 payers, 44 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 horizon blue cross of nj-medicare hmo facility · other · outpatient | $425.19 | $425.19 | $425.19 – $425.19 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $425.19 | $425.19 | $425.19 – $425.19 |
| 3 | Tricare tricare facility · fee schedule · outpatient | $427.28 | $427.28 | $427.28 – $427.28 |
| 4 | Highmark highmark medicare advantage facility · other · outpatient | $433.69 | $433.69 | $433.69 – $433.69 |
| 5 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $437.95 | $437.95 | $437.95 – $437.95 |
| 6 | Humana humana medicare facility · fee schedule · outpatient | $437.95 | $437.95 | $437.95 – $437.95 |
| 7 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $450.70 | $450.70 | $450.70 – $450.70 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $450.70 | $450.70 | $450.70 – $450.70 |
| 9 | Clover clover health plan facility · other · outpatient | $459.21 | $459.21 | $459.21 – $459.21 |
| 10 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $577.67 | $577.67 | $260.28 – $895.05 |
| 11 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $594.78 | $594.78 | $267.99 – $921.57 |
| 12 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $594.78 | $594.78 | $267.99 – $921.57 |
| 13 | UnitedHealthcare unitedhealthcare new business facility · case rate · outpatient | $650.00 | $650.00 | $650.00 – $650.00 |
| 14 | UnitedHealthcare unitedhealthcare non options facility · case rate · outpatient | $676.00 | $676.00 | $676.00 – $676.00 |
| 15 | Oscar oscar health plan facility · other · outpatient | $722.82 | $722.82 | $722.82 – $722.82 |
| 16 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $1,050 | $801.78 | $305.30 – $1,050 |
| 17 | Cigna cigna new business facility · case rate · outpatient | $811.00 | $811.00 | $811.00 – $811.00 |
| 18 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $864.36 | $864.36 | $389.46 – $1,339 |
| 19 | Blue Cross Blue Shield ibc traditional facility · percent of total billed charges · outpatientfrom % of charges | $877.84 | $877.84 | $395.53 – $1,360 |
| 20 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · percent of total billed charges · outpatientfrom % of charges | $882.76 | $882.76 | $397.75 – $1,368 |
| 21 | Blue Cross Blue Shield personal choice-ibc ppo facility · percent of total billed charges · outpatientfrom % of charges | $882.76 | $882.76 | $397.75 – $1,368 |
| 22 | Highmark highmark facility · other · outpatient | $894.13 | $894.13 | $894.13 – $894.13 |
| 23 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · other · outpatient | $895.32 | $895.32 | $895.32 – $895.32 |
| 24 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $990.59 | $990.59 | $446.33 – $1,535 |
| 25 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,070 | $1,070 | $482.00 – $1,658 |
Last updated: Mar 19, 2026
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