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
Fna bx w/o img gdn ea addl
Fond Du Lac, WI
See all hospitals reporting CPT 10004 →Price type
Agnesian Healthcare Inc.’s median price of $2.3k is 406% above the median hospital's median price ($461), higher than 78% of the 1,449 hospitals reporting CPT 10004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 3 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 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $5,512 | $5,512 | $5,512 – $5,512 |
| 2 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $6,822 | $6,822 | $6,822 – $6,822 |
| 3 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $6,822 | $6,822 | $6,822 – $6,822 |
Last updated: Apr 1, 2026
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