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
Tustin, CA
See all hospitals reporting CPT 10004 →Price type
Alta Newport Hospital, LLC’s median price of $53 is 88% below the median hospital's median price ($461), higher than 16% 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: 7 payers, 11 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 | Aetna medicare advantage facility · case rate · outpatient | $52.28 | $52.28 | $52.28 – $52.28 |
| 2 | Anthem medicare advantage facility · case rate · outpatient | $52.28 | $52.28 | $52.28 – $52.28 |
| 3 | Bcbs Ca medicare advantage facility · case rate · outpatient | $52.28 | $52.28 | $52.28 – $52.28 |
| 4 | Humana medicare advantage facility · case rate · outpatient | $52.28 | $52.28 | $52.28 – $52.28 |
| 5 | Optum commercial hmo facility · case rate · outpatient | $52.28 | $52.28 | $52.28 – $52.28 |
| 6 | Optum medicare advantage facility · case rate · outpatient | $53.33 | $53.33 | $53.33 – $53.33 |
| 7 | WellCare medicare advantage facility · case rate · outpatient | $53.33 | $53.33 | $53.33 – $53.33 |
| 8 | Aetna exchange facility · case rate · outpatient | $67.97 | $67.97 | $67.97 – $67.97 |
| 9 | Aetna all gatekeeper plans facility · case rate · outpatient | $97.77 | $97.77 | $97.77 – $97.77 |
| 10 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $97.77 | $97.77 | $97.77 – $97.77 |
| 11 | UnitedHealthcare managed care facility · case rate · outpatient | $587.00 | $587.00 | $587.00 – $587.00 |
Last updated: Mar 18, 2026
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