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
HC 10021 FINE NDL ASP BX W/O IMG GDE; 1ST LESION
San Antonio, TX
See all hospitals reporting CPT 10021 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $375 is 19% below the median hospital's median price ($463), higher than 26% of the 2,193 hospitals reporting CPT 10021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 35 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 | Aetna chip km fee schedule · outpatient | $51.77 | $51.77 | $51.77 – $51.77 |
| 2 | Aetna star km fee schedule · outpatient | $51.77 | $51.77 | $51.77 – $51.77 |
| 3 | Bcbs Tx star chip km fee schedule · outpatient | $51.77 | $51.77 | $51.77 – $51.77 |
| 4 | Molina chip km fee schedule · outpatient | $51.77 | $51.77 | $51.77 – $51.77 |
| 5 | Molina star plus km fee schedule · outpatient | $51.77 | $51.77 | $51.77 – $51.77 |
| 6 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $53.86 | $53.86 | $53.86 – $53.86 |
| 7 | UnitedHealthcare chip km fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 8 | UnitedHealthcare star km fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 9 | UnitedHealthcare star plus km fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $69.25 | $69.25 | $69.25 – $69.25 |
| 11 | Bcbs Tx heb fee schedule · outpatient | $71.03 | $71.03 | $71.03 – $71.03 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $78.72 | $78.72 | $78.72 – $78.72 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $81.09 | $81.09 | $81.09 – $81.09 |
| 14 | Cigna new business case rate · outpatient | $129.00 | $129.00 | $129.00 – $129.00 |
| 15 | Humana choicecare other · outpatient | $163.00 | $163.00 | $163.00 – $163.00 |
| 16 | Cigna ppo case rate · outpatient | $164.00 | $164.00 | $164.00 – $164.00 |
| 17 | Aetna mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 18 | Bcbs Tx mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 19 | Humana gold choice mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 20 | Humana gold plus mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 21 | Molina medicare adv mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 22 | UnitedHealthcare mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 23 | WellCare mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 24 | Devoted mm fee schedule · outpatient | $405.16 | $405.16 | $405.16 – $405.16 |
| 25 | UnitedHealthcare all payer case rate · outpatient | $1,082 | $1,082 | $1,082 – $1,082 |
Last updated: Jan 13, 2026
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