Foreign body removal at Santa Rosa Hospital - Westover Hills

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC 10121 INCN & REMVL FB SUBQ TIS;COMPLICATED

San Antonio, TX

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Pricing by billing methodology

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How this price compares nationally

Santa Rosa Hospital - Westover Hills’s median price of $1.5k is 16% below the median hospital's median price ($1.8k), higher than 30% of the 2,260 hospitals reporting CPT 10121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10121 at Santa Rosa Hospital - Westover Hills

Negotiated rates from the hospital’s own file: 12 payers, 38 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 chip km case rate · outpatient	$271.37	$271.37	$271.37 – $271.37
2	UnitedHealthcare star km case rate · outpatient	$271.37	$271.37	$271.37 – $271.37
3	UnitedHealthcare star plus km case rate · outpatient	$271.37	$271.37	$271.37 – $271.37
4	Humana choicecare per diem · outpatient	$480.00	$480.00	$480.00 – $480.00
5	Aetna chip km fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
6	Aetna star km fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
7	Bcbs Tx star chip km fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
8	Molina chip km fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
9	Molina star plus km fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
10	Bcbs Tx blue advantangehmo fee schedule · outpatient	$1,249	$968.80	$128.00 – $1,249
11	Bcbs Tx hmo fee schedule · outpatient	$1,606	$1,243	$156.00 – $1,606
12	Bcbs Tx heb fee schedule · outpatient	$1,647	$1,275	$158.00 – $1,647
13	Bcbs Tx ppo fee schedule · outpatient	$1,826	$1,407	$152.00 – $1,826
14	Bcbs Tx traditional fee schedule · outpatient	$1,880	$1,457	$186.00 – $1,880
15	Aetna mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
16	Bcbs Tx mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
17	Humana gold choice mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
18	Humana gold plus mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
19	Molina medicare adv mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
20	UnitedHealthcare mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
21	WellCare mm fee schedule · outpatient	$1,521	$1,521	$1,521 – $1,521
22	Devoted mm fee schedule · outpatient	$1,643	$1,643	$1,643 – $1,643
23	Humana choicecare other · outpatient	$1,672	$1,672	$1,672 – $1,672
24	Aetna new business case rate · outpatient	$2,335	$2,335	$2,335 – $2,335
25	Aetna epo case rate · outpatient	$2,594	$2,594	$2,594 – $2,594

Page 1 of 2 · 38 rates

Last updated: Jan 13, 2026

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