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 COMP
San Marcos, TX
See all hospitals reporting CPT 10121 →Price type
Santa Rosa Hospital - San Marcos’s median price of $1.6k is 11% below the median hospital's median price ($1.8k), higher than 36% 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, 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 | UnitedHealthcare star kids km case rate · outpatient | $279.80 | $279.80 | $279.80 – $279.80 |
| 2 | UnitedHealthcare star km case rate · outpatient | $279.80 | $279.80 | $279.80 – $279.80 |
| 3 | Bcbs Tx star kids km fee schedule · outpatient | $496.18 | $496.18 | $496.18 – $496.18 |
| 4 | Bcbs Tx star km fee schedule · outpatient | $496.18 | $496.18 | $496.18 – $496.18 |
| 5 | Humana mm fee schedule · outpatient | $1,570 | $1,570 | $1,570 – $1,570 |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $1,570 | $1,570 | $1,570 – $1,570 |
| 7 | WellCare mm fee schedule · outpatient | $1,570 | $1,570 | $1,570 – $1,570 |
| 8 | Aetna mm fee schedule · outpatient | $1,602 | $1,602 | $1,602 – $1,602 |
| 9 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $1,617 | $1,617 | $1,617 – $1,617 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $1,647 | $1,647 | $1,647 – $1,647 |
| 11 | Devoted mm fee schedule · outpatient | $1,696 | $1,696 | $1,696 – $1,696 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $1,784 | $1,784 | $1,784 – $1,784 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1,853 | $1,853 | $1,853 – $1,853 |
| 14 | Bcbs Tx heb fee schedule · outpatient | $3,445 | $3,445 | $3,445 – $3,445 |
| 15 | Healthcare Highways ppo fee schedule · outpatient | $3,973 | $3,973 | $3,973 – $3,973 |
| 16 | UnitedHealthcare all payer case rate · outpatient | $4,331 | $4,331 | $4,331 – $4,331 |
| 17 | Humana choicecare other · outpatient | $4,973 | $4,973 | $4,973 – $4,973 |
| 18 | Cigna new business case rate · outpatient | $5,201 | $5,201 | $5,201 – $5,201 |
| 19 | Cigna ppo case rate · outpatient | $6,603 | $6,603 | $6,603 – $6,603 |
Last updated: Jan 13, 2026
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