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, Inc.- Main Campus’s median price of $1.9k is 6% above the median hospital's median price ($1.8k), higher than 54% 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: 10 payers, 30 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 | Amerihealth Caritas transplant facility · fee schedule · outpatient | $91.00 | $91.00 | $91.00 – $91.00 |
| 2 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 3 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 4 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 5 | Bcbs Nj workers' comp facility · percent of total billed charges · inpatientfrom % of charges | $1,599 | $1,599 | $1,599 – $1,599 |
| 6 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 7 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 8 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 10 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $1,736 | $1,736 | $1,736 – $1,736 |
| 11 | Highmark medicare advantage facility · fee schedule · outpatient | $1,771 | $1,771 | $1,771 – $1,771 |
| 12 | Aetna coventry facility · fee schedule · outpatient | $1,788 | $1,788 | $1,788 – $1,788 |
| 13 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $1,823 | $1,823 | $1,823 – $1,823 |
| 14 | Clover medicare advantage facility · fee schedule · outpatient | $1,840 | $1,840 | $1,840 – $1,840 |
| 15 | Aetna medicare advantage facility · fee schedule · outpatient | $1,875 | $1,875 | $1,875 – $1,875 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $2,290 | $2,290 | $2,290 – $2,290 |
| 17 | Bcbs Nj pip facility · percent of total billed charges · outpatientfrom % of charges | $2,343 | $2,343 | $2,343 – $2,343 |
| 18 | Bcbs Nj pip facility · percent of total billed charges · inpatientfrom % of charges | $2,390 | $2,390 | $2,390 – $2,390 |
| 19 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $2,604 | $2,604 | $2,604 – $2,604 |
| 20 | Aetna commercial facility · case rate · outpatient | $2,605 | $2,605 | $2,605 – $2,605 |
| 21 | Aetna first health facility · case rate · outpatient | $2,605 | $2,605 | $2,605 – $2,605 |
| 22 | Aetna workers' comp facility · case rate · outpatient | $2,605 | $2,605 | $2,605 – $2,605 |
| 23 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,907 | $2,907 | $2,907 – $2,907 |
| 24 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,907 | $2,907 | $2,907 – $2,907 |
| 25 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $4,148 | $4,148 | $4,148 – $4,148 |
Last updated: Apr 13, 2026
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