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
Bismarck, ND
See all hospitals reporting CPT 10121 →Price type
Sanford Medical Center Bismarck’s median price of $2.3k is 27% above the median hospital's median price ($1.8k), higher than 65% 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, 23 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 | Sanford Health Plan commercial/nd pers fee schedule · outpatient | $183.75 | $183.75 | $183.75 – $183.75 |
| 2 | Sanford Health Plan group health/true fee schedule · outpatient | $183.75 | $183.75 | $183.75 – $183.75 |
| 3 | Sanford Health Plan sd exchange commercial fee schedule · outpatient | $183.75 | $183.75 | $183.75 – $183.75 |
| 4 | Sanford Health Plan sd exchange true fee schedule · outpatient | $183.75 | $183.75 | $183.75 – $183.75 |
| 5 | Sanford Health Plan medicare replacement case rate · outpatient | $1,539 | $1,539 | $1,539 – $1,539 |
| 6 | Ucare medicare replacement case rate · outpatient | $1,653 | $1,653 | $1,653 – $1,653 |
| 7 | Aetna medicare replacement case rate · outpatient | $1,669 | $1,669 | $1,669 – $1,669 |
| 8 | Bcbs Nd medicare replacement case rate · outpatient | $1,669 | $1,669 | $1,669 – $1,669 |
| 9 | UnitedHealthcare medicare replacement case rate · outpatient | $1,669 | $1,669 | $1,669 – $1,669 |
| 10 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,226 | $2,226 | $2,226 – $2,226 |
| 11 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $2,297 | $2,297 | $2,297 – $2,297 |
| 12 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $2,361 | $2,361 | $2,361 – $2,361 |
| 13 | Medica elect percent of total billed charges · outpatientfrom % of charges | $2,382 | $2,382 | $2,382 – $2,382 |
| 14 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $2,386 | $2,386 | $2,386 – $2,386 |
| 15 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $2,405 | $2,405 | $2,405 – $2,405 |
| 16 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $2,712 | $2,712 | $2,712 – $2,712 |
| 17 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2,712 | $2,712 | $2,712 – $2,712 |
| 18 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,765 | $2,765 | $2,765 – $2,765 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,765 | $2,765 | $2,765 – $2,765 |
| 20 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $2,941 | $2,941 | $2,941 – $2,941 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $2,941 | $2,941 | $2,941 – $2,941 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,941 | $2,941 | $2,941 – $2,941 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,941 | $2,941 | $2,941 – $2,941 |
Last updated: Mar 4, 2026
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