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
ED 10120 INC&REMV FB SMPL
Mayville, ND
See all hospitals reporting CPT 10120 →Price type
Sanford Mayville Medical Center’s median price of $775 is 64% above the median hospital's median price ($472), higher than 76% 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, 24 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 Mn pmap percent of total billed charges · outpatientfrom % of charges | $227.33 | $227.33 | $227.33 – $227.33 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $463.87 | $463.87 | $463.87 – $463.87 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $497.67 | $497.67 | $497.67 – $497.67 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $503.30 | $503.30 | $503.30 – $503.30 |
| 5 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $503.30 | $503.30 | $503.30 – $503.30 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $503.30 | $503.30 | $503.30 – $503.30 |
| 7 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $636.45 | $636.45 | $636.45 – $636.45 |
| 8 | Sanford Health Plan group health/true/sd exchange true percent of total billed charges · inpatientfrom % of charges | $741.25 | $741.25 | $741.25 – $741.25 |
| 9 | Sanford Health Plan group health/true/sd exchange true percent of total billed charges · outpatientfrom % of charges | $741.25 | $741.25 | $741.25 – $741.25 |
| 10 | Medica choice percent of total billed charges · inpatientfrom % of charges | $774.68 | $774.68 | $774.68 – $774.68 |
| 11 | Medica choice percent of total billed charges · outpatientfrom % of charges | $774.68 | $774.68 | $774.68 – $774.68 |
| 12 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $784.07 | $784.07 | $784.07 – $784.07 |
| 13 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $784.07 | $784.07 | $784.07 – $784.07 |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $815.99 | $815.99 | $815.99 – $815.99 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $815.99 | $815.99 | $815.99 – $815.99 |
| 16 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $825.01 | $825.01 | $825.01 – $825.01 |
| 17 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $825.01 | $825.01 | $825.01 – $825.01 |
| 18 | Medica elect percent of total billed charges · inpatientfrom % of charges | $828.20 | $828.20 | $828.20 – $828.20 |
| 19 | Medica elect percent of total billed charges · outpatientfrom % of charges | $828.20 | $828.20 | $828.20 – $828.20 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $845.10 | $845.10 | $845.10 – $845.10 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $845.10 | $845.10 | $845.10 – $845.10 |
| 22 | Bcbs Mn commercial percent of total billed charges · outpatientfrom % of charges | $868.76 | $868.76 | $868.76 – $868.76 |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $872.05 | $872.05 | $872.05 – $872.05 |
| 24 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $872.05 | $872.05 | $872.05 – $872.05 |
Last updated: Mar 4, 2026
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