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 FNA W/O IMAGE GUIDE, FIRST LES
Philadelphia, PA
See all hospitals reporting CPT 10021 →Price type
Temple University Hospital - Northeastern Campus’s median price of $440 is 5% below the median hospital's median price ($463), higher than 45% 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: 9 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 | $101.85 | $101.85 | $101.85 – $101.85 |
| 2 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $101.85 | $101.85 | $101.85 – $101.85 |
| 3 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $101.85 | $101.85 | $101.85 – $101.85 |
| 4 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $230.86 | $230.86 | $230.86 – $230.86 |
| 5 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $230.86 | $230.86 | $230.86 – $230.86 |
| 6 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 7 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 8 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 10 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $415.32 | $415.32 | $415.32 – $415.32 |
| 11 | Highmark medicare advantage facility · fee schedule · outpatient | $423.63 | $423.63 | $423.63 – $423.63 |
| 12 | Aetna coventry facility · fee schedule · outpatient | $427.78 | $427.78 | $427.78 – $427.78 |
| 13 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $436.09 | $436.09 | $436.09 – $436.09 |
| 14 | Clover medicare advantage facility · fee schedule · outpatient | $440.24 | $440.24 | $440.24 – $440.24 |
| 15 | Aetna medicare advantage facility · fee schedule · outpatient | $448.55 | $448.55 | $448.55 – $448.55 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $547.85 | $547.85 | $547.85 – $547.85 |
| 17 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $622.98 | $622.98 | $622.98 – $622.98 |
| 18 | Bcbs Pa indemnity facility · fee schedule · outpatient | $637.06 | $637.06 | $637.06 – $637.06 |
| 19 | Bcbs Pa hmo/ppo/temple member facility · fee schedule · outpatient | $687.48 | $687.48 | $687.48 – $687.48 |
| 20 | Highmark commercial facility · fee schedule · outpatient | $1,323 | $1,323 | $1,323 – $1,323 |
| 21 | Aetna commercial facility · case rate · outpatient | $1,978 | $1,978 | $1,978 – $1,978 |
| 22 | Aetna first health facility · case rate · outpatient | $1,978 | $1,978 | $1,978 – $1,978 |
| 23 | Aetna workers' comp facility · case rate · outpatient | $1,978 | $1,978 | $1,978 – $1,978 |
Last updated: Apr 13, 2026
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