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 University Hospital - Fox Chase Campus’s median price of $1.9k is 3% above the median hospital's median price ($1.8k), higher than 53% 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: 9 payers, 25 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 | $1,283 | $1,283 | $1,283 – $1,283 |
| 2 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 3 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 4 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $1,370 | $1,370 | $1,370 – $1,370 |
| 5 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $1,370 | $1,370 | $1,370 – $1,370 |
| 6 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 8 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 9 | Highmark medicare advantage facility · fee schedule · outpatient | $1,771 | $1,771 | $1,771 – $1,771 |
| 10 | Aetna coventry facility · fee schedule · outpatient | $1,788 | $1,788 | $1,788 – $1,788 |
| 11 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $1,823 | $1,823 | $1,823 – $1,823 |
| 12 | Clover medicare advantage facility · fee schedule · outpatient | $1,840 | $1,840 | $1,840 – $1,840 |
| 13 | Aetna medicare advantage facility · fee schedule · outpatient | $1,875 | $1,875 | $1,875 – $1,875 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $2,290 | $2,290 | $2,290 – $2,290 |
| 15 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $2,604 | $2,604 | $2,604 – $2,604 |
| 16 | Aetna commercial facility · case rate · outpatient | $2,605 | $2,605 | $2,605 – $2,605 |
| 17 | Aetna first health facility · case rate · outpatient | $2,605 | $2,605 | $2,605 – $2,605 |
| 18 | Aetna workers' comp facility · case rate · outpatient | $2,605 | $2,605 | $2,605 – $2,605 |
| 19 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,907 | $2,907 | $2,907 – $2,907 |
| 20 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,907 | $2,907 | $2,907 – $2,907 |
| 21 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $3,039 | $3,039 | $3,039 – $3,039 |
| 22 | Bcbs Pa hmo facility · fee schedule · outpatient | $3,041 | $3,041 | $3,041 – $3,041 |
| 23 | Bcbs Pa ppo facility · fee schedule · outpatient | $3,207 | $3,207 | $3,207 – $3,207 |
| 24 | Bcbs Pa temple member facility · fee schedule · outpatient | $3,207 | $3,207 | $3,207 – $3,207 |
| 25 | Highmark commercial facility · fee schedule · outpatient | $5,531 | $5,531 | $5,531 – $5,531 |
Last updated: Apr 13, 2026
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