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 - Northeastern Campus’s median price of $1.8k is about the same as 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: 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 | $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 Nj medicare advantage facility · fee schedule · outpatient | $1,687 | $1,687 | $1,687 – $1,687 |
| 5 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $1,687 | $1,687 | $1,687 – $1,687 |
| 6 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $1,687 | $1,687 | $1,687 – $1,687 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $1,687 | $1,687 | $1,687 – $1,687 |
| 8 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $1,687 | $1,687 | $1,687 – $1,687 |
| 9 | Highmark medicare advantage facility · fee schedule · outpatient | $1,721 | $1,721 | $1,721 – $1,721 |
| 10 | Aetna coventry facility · fee schedule · outpatient | $1,738 | $1,738 | $1,738 – $1,738 |
| 11 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $1,772 | $1,772 | $1,772 – $1,772 |
| 12 | Clover medicare advantage facility · fee schedule · outpatient | $1,789 | $1,789 | $1,789 – $1,789 |
| 13 | Aetna medicare advantage facility · fee schedule · outpatient | $1,822 | $1,822 | $1,822 – $1,822 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $2,226 | $2,226 | $2,226 – $2,226 |
| 15 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $2,531 | $2,531 | $2,531 – $2,531 |
| 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 | Bcbs Pa indemnity facility · fee schedule · outpatient | $2,803 | $2,803 | $2,803 – $2,803 |
| 20 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,907 | $2,907 | $2,907 – $2,907 |
| 21 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,907 | $2,907 | $2,907 – $2,907 |
| 22 | Bcbs Pa hmo/ppo/temple member facility · fee schedule · outpatient | $3,025 | $3,025 | $3,025 – $3,025 |
| 23 | Highmark commercial facility · fee schedule · outpatient | $5,376 | $5,376 | $5,376 – $5,376 |
Last updated: Apr 13, 2026
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