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 REMO F/B SUBQ SIMPLE
Breaux Bridge, LA
See all hospitals reporting CPT 10120 →Price type
St Martin Hospital Inc’s median price of $97 is 79% below the median hospital's median price ($472), higher than 2% 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: 10 payers, 23 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 Better Health all payor fee schedule · outpatient | $79.56 | $79.56 | $79.56 – $79.56 |
| 2 | Amerihealth Caritas all payor fee schedule · outpatient | $79.56 | $79.56 | $79.56 – $79.56 |
| 3 | Aetna all payor other · outpatient | $83.60 | $83.60 | $83.60 – $83.60 |
| 4 | Bcbs La all payor other · outpatient | $83.60 | $83.60 | $83.60 – $83.60 |
| 5 | Humana all payor other · outpatient | $83.60 | $83.60 | $83.60 – $83.60 |
| 6 | Optum all payor other · outpatient | $83.60 | $83.60 | $83.60 – $83.60 |
| 7 | UnitedHealthcare all payor other · outpatient | $83.60 | $83.60 | $83.60 – $83.60 |
| 8 | WellCare all payor other · outpatient | $83.60 | $83.60 | $83.60 – $83.60 |
| 9 | Humana all payor fee schedule · outpatient | $87.97 | $87.97 | $79.56 – $96.38 |
| 10 | Optum all payor fee schedule · outpatient | $96.38 | $96.38 | $96.38 – $96.38 |
| 11 | WellCare all payor fee schedule · outpatient | $96.38 | $96.38 | $96.38 – $96.38 |
| 12 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $96.95 | $96.95 | $96.95 – $96.95 |
| 13 | Tricare all payor fee schedule · outpatient | $98.89 | $98.89 | $98.89 – $98.89 |
| 14 | UnitedHealthcare all payor fee schedule · outpatient | $120.42 | $111.61 | $79.56 – $134.85 |
| 15 | Aetna all payor fee schedule · outpatient | $121.42 | $121.42 | $96.38 – $146.45 |
| 16 | Cigna all payor fee schedule · outpatient | $186.01 | $186.01 | $186.01 – $186.01 |
| 17 | UnitedHealthcare all payor case rate · outpatient | $279.83 | $279.83 | $210.00 – $349.65 |
| 18 | Cigna all payor other · outpatient | $323.00 | $323.00 | $323.00 – $323.00 |
| 19 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $345.80 | $345.80 | $345.80 – $345.80 |
| 20 | Aetna Better Health all payor case rate · outpatient | $349.65 | $349.65 | $349.65 – $349.65 |
| 21 | Amerihealth Caritas all payor case rate · outpatient | $349.65 | $349.65 | $349.65 – $349.65 |
| 22 | Humana all payor case rate · outpatient | $349.65 | $349.65 | $349.65 – $349.65 |
| 23 | Bcbs La all payor fee schedule · outpatient | $597.91 | $799.52 | $96.38 – $1,226 |
Last updated: Apr 1, 2026
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