Skip to main content
Cost Estimator
ESTIMATE FOR
INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL TechFee
CPT: 10121 
at Coulee Medical Center
using Cash - No Insurance
12/22/2024 2:02 PM
Coulee Medical Center Estimate
Patient portion estimate
$1,182.60*
Facility fee
$1,182.60
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$1,182.60
2 Month Plan
$591.30
3 Month Plan
$394.20
4 Month Plan
$295.65
This estimate covers only the fees from Coulee Medical Center and may not include any 3rd party fees you may incur.
To schedule or ask a question
Call (509) 633-1753
Cost Detail
Total starting charges
$1,314.00
Cash Discount
$131.40
Total Estimated Patient Portion
$1,182.60

This price estimate, including payment options, is based on the selections you made and compared to what the expected charges will be for those services. This is just an estimate; actual costs can change based on complications, supplies/equipment/medication used, etc. Estimates with insurance factored in are based on your coverage at the time the estimate was given, which coverage may be different at the time of service. Please check with your insurance provider or with our Billing team prior to being seen for an updated estimate. Charges may be less for Physician Assistants and Nurse Practitioners. To receive the cash pay discount, you must pay the balance in full within 30 days of the time of service. You may qualify for additional financial assistance, contact the hospital for details. See the complete Price Estimator Disclaimer below for more details.

Cost data updated 5/2/2023 9:07 PM