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 INCI/REM FB S/Q TISSUE,COMP
Philadelphia, PA
See all hospitals reporting CPT 10121 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $1.8k is 1% below the median hospital's median price ($1.8k), higher than 49% 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: 7 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 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1,197 | $1,197 | $1,197 – $1,197 |
| 2 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,197 | $1,197 | $1,197 – $1,197 |
| 3 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,197 | $1,197 | $1,197 – $1,197 |
| 4 | Cigna commercial facility · case rate · outpatient | $1,645 | $1,645 | $1,645 – $1,645 |
| 5 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $1,697 | $1,697 | $1,697 – $1,697 |
| 6 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $1,697 | $1,697 | $1,697 – $1,697 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $1,697 | $1,697 | $1,697 – $1,697 |
| 8 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $1,697 | $1,697 | $1,697 – $1,697 |
| 9 | Highmark medicare advantage facility · fee schedule · outpatient | $1,731 | $1,731 | $1,731 – $1,731 |
| 10 | Humana medicare advantage facility · fee schedule · outpatient | $1,748 | $1,748 | $1,748 – $1,748 |
| 11 | Cigna medicare hmo facility · fee schedule · outpatient | $1,765 | $1,765 | $1,765 – $1,765 |
| 12 | Cigna medicare ppo facility · fee schedule · outpatient | $1,765 | $1,765 | $1,765 – $1,765 |
| 13 | Aetna medicare advantage facility · fee schedule · outpatient | $1,833 | $1,833 | $1,833 – $1,833 |
| 14 | Bcbs Pa indemnity facility · fee schedule · outpatient | $2,306 | $2,306 | $2,306 – $2,306 |
| 15 | UnitedHealthcare community plan facility · case rate · outpatient | $2,354 | $2,354 | $2,354 – $2,354 |
| 16 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $2,401 | $2,401 | $2,401 – $2,401 |
| 17 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $2,528 | $2,528 | $2,528 – $2,528 |
| 18 | UnitedHealthcare commercial facility · case rate · outpatient | $2,656 | $2,656 | $2,656 – $2,656 |
| 19 | UnitedHealthcare chip facility · case rate · outpatient | $2,661 | $2,661 | $2,661 – $2,661 |
| 20 | Aetna commercial facility · case rate · outpatient | $5,350 | $5,350 | $5,350 – $5,350 |
| 21 | Highmark commercial facility · fee schedule · outpatient | $5,406 | $5,406 | $5,406 – $5,406 |
| 22 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $7,781 | $7,781 | $7,781 – $7,781 |
| 23 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $7,781 | $7,781 | $7,781 – $7,781 |
Last updated: Apr 8, 2026
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