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
Sheldon, IA
See all hospitals reporting CPT 10121 →Price type
Sanford Sheldon Medical Center’s median price of $3.4k is 89% above the median hospital's median price ($1.8k), higher than 85% 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, 27 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 medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,503 | $1,503 | $1,503 – $1,503 |
| 2 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,614 | $1,614 | $1,614 – $1,614 |
| 3 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,630 | $1,630 | $1,630 – $1,630 |
| 4 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,630 | $1,630 | $1,630 – $1,630 |
| 5 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,630 | $1,630 | $1,630 – $1,630 |
| 6 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $2,637 | $2,637 | $2,637 – $2,637 |
| 7 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $2,742 | $2,742 | $2,742 – $2,742 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $2,826 | $2,826 | $2,826 – $2,826 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $2,826 | $2,826 | $2,826 – $2,826 |
| 10 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,826 | $2,826 | $2,826 – $2,826 |
| 11 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,826 | $2,826 | $2,826 – $2,826 |
| 12 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $3,324 | $3,324 | $3,324 – $3,324 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $3,324 | $3,324 | $3,324 – $3,324 |
| 14 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $3,324 | $3,324 | $3,324 – $3,324 |
| 15 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $3,324 | $3,324 | $3,324 – $3,324 |
| 16 | Medica choice percent of total billed charges · inpatientfrom % of charges | $4,351 | $4,351 | $4,351 – $4,351 |
| 17 | Medica choice percent of total billed charges · outpatientfrom % of charges | $4,351 | $4,351 | $4,351 – $4,351 |
| 18 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $4,404 | $4,404 | $4,404 – $4,404 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $4,404 | $4,404 | $4,404 – $4,404 |
| 20 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $4,583 | $4,583 | $4,583 – $4,583 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $4,583 | $4,583 | $4,583 – $4,583 |
| 22 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $4,634 | $4,634 | $4,634 – $4,634 |
| 23 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $4,634 | $4,634 | $4,634 – $4,634 |
| 24 | Medica elect percent of total billed charges · inpatientfrom % of charges | $4,652 | $4,652 | $4,652 – $4,652 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $4,652 | $4,652 | $4,652 – $4,652 |
Last updated: Mar 4, 2026
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