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 10121 INC&REMV FB COMPL
Mayville, ND
See all hospitals reporting CPT 10121 →Price type
Sanford Mayville Medical Center’s median price of $2.4k is 31% above the median hospital's median price ($1.8k), higher than 67% 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, 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 | $692.89 | $692.89 | $692.89 – $692.89 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,414 | $1,414 | $1,414 – $1,414 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,517 | $1,517 | $1,517 – $1,517 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,534 | $1,534 | $1,534 – $1,534 |
| 5 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,534 | $1,534 | $1,534 – $1,534 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,534 | $1,534 | $1,534 – $1,534 |
| 7 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $1,940 | $1,940 | $1,940 – $1,940 |
| 8 | Sanford Health Plan group health/true/sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,259 | $2,259 | $2,259 – $2,259 |
| 9 | Sanford Health Plan group health/true/sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,259 | $2,259 | $2,259 – $2,259 |
| 10 | Medica choice percent of total billed charges · inpatientfrom % of charges | $2,361 | $2,361 | $2,361 – $2,361 |
| 11 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,361 | $2,361 | $2,361 – $2,361 |
| 12 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $2,390 | $2,390 | $2,390 – $2,390 |
| 13 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2,390 | $2,390 | $2,390 – $2,390 |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,487 | $2,487 | $2,487 – $2,487 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,487 | $2,487 | $2,487 – $2,487 |
| 16 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $2,515 | $2,515 | $2,515 – $2,515 |
| 17 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $2,515 | $2,515 | $2,515 – $2,515 |
| 18 | Medica elect percent of total billed charges · inpatientfrom % of charges | $2,524 | $2,524 | $2,524 – $2,524 |
| 19 | Medica elect percent of total billed charges · outpatientfrom % of charges | $2,524 | $2,524 | $2,524 – $2,524 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,576 | $2,576 | $2,576 – $2,576 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,576 | $2,576 | $2,576 – $2,576 |
| 22 | Bcbs Mn commercial percent of total billed charges · outpatientfrom % of charges | $2,648 | $2,648 | $2,648 – $2,648 |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $2,658 | $2,658 | $2,658 – $2,658 |
| 24 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $2,658 | $2,658 | $2,658 – $2,658 |
Last updated: Mar 4, 2026
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