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
INC&RMVL FB SUBQ TISS SMPL
San Marcos, TX
See all hospitals reporting CPT 10120 →Price type
Santa Rosa Hospital - San Marcos’s median price of $387 is 18% below the median hospital's median price ($472), higher than 28% 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, 19 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 Tx star kids km fee schedule · outpatient | $88.11 | $88.11 | $88.11 – $88.11 |
| 2 | Bcbs Tx star km fee schedule · outpatient | $88.11 | $88.11 | $88.11 – $88.11 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $128.20 | $128.20 | $128.20 – $128.20 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $138.88 | $138.88 | $138.88 – $138.88 |
| 5 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $144.22 | $144.22 | $144.22 – $144.22 |
| 6 | Cigna new business case rate · outpatient | $147.00 | $147.00 | $147.00 – $147.00 |
| 7 | Cigna ppo case rate · outpatient | $187.00 | $187.00 | $187.00 – $187.00 |
| 8 | Humana choicecare other · outpatient | $202.00 | $202.00 | $202.00 – $202.00 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $268.14 | $268.14 | $268.14 – $268.14 |
| 10 | UnitedHealthcare star kids km case rate · outpatient | $279.80 | $279.80 | $279.80 – $279.80 |
| 11 | UnitedHealthcare star km case rate · outpatient | $279.80 | $279.80 | $279.80 – $279.80 |
| 12 | Humana mm fee schedule · outpatient | $387.18 | $387.18 | $387.18 – $387.18 |
| 13 | UnitedHealthcare mm fee schedule · outpatient | $387.18 | $387.18 | $387.18 – $387.18 |
| 14 | WellCare mm fee schedule · outpatient | $387.18 | $387.18 | $387.18 – $387.18 |
| 15 | Aetna mm fee schedule · outpatient | $394.92 | $394.92 | $394.92 – $394.92 |
| 16 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $398.80 | $398.80 | $398.80 – $398.80 |
| 17 | Devoted mm fee schedule · outpatient | $418.15 | $418.15 | $418.15 – $418.15 |
| 18 | Healthcare Highways ppo fee schedule · outpatient | $979.57 | $979.57 | $979.57 – $979.57 |
| 19 | UnitedHealthcare all payer case rate · outpatient | $1,902 | $1,902 | $1,902 – $1,902 |
Last updated: Jan 13, 2026
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