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
FNA BX W/O IMG GDN 1ST LES
Texarkana, TX
See all hospitals reporting CPT 10021 →Price type
St. Michael Rehabilitation Hospital’s median price of $392 is 15% below the median hospital's median price ($463), higher than 32% 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: 6 payers, 18 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 fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 2 | UnitedHealthcare star kid km fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $54.20 | $54.20 | $54.20 – $54.20 |
| 5 | Molina chip km fee schedule · outpatient | $54.36 | $54.36 | $54.36 – $54.36 |
| 6 | Molina healthspring star plus km fee schedule · outpatient | $54.36 | $54.36 | $54.36 – $54.36 |
| 7 | Molina star km fee schedule · outpatient | $54.36 | $54.36 | $54.36 – $54.36 |
| 8 | Molina star plus km fee schedule · outpatient | $54.36 | $54.36 | $54.36 – $54.36 |
| 9 | Cigna ppo case rate · outpatient | $149.00 | $149.00 | $149.00 – $149.00 |
| 10 | Humana choicecare other · outpatient | $179.00 | $179.00 | $179.00 – $179.00 |
| 11 | Aetna mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 12 | Bcbs Tx mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 13 | Humana choicecare network mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 14 | Molina medicare adv mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 15 | UnitedHealthcare mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 16 | UnitedHealthcare hix case rate · outpatient | $952.00 | $952.00 | $952.00 – $952.00 |
| 17 | UnitedHealthcare all payer case rate · outpatient | $1,479 | $1,479 | $1,479 – $1,479 |
| 18 | Aetna ppo case rate · outpatient | $4,162 | $4,162 | $4,162 – $4,162 |
Last updated: Jan 13, 2026
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