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 BX W/O GDN, EA ADDL
Brenham, TX
See all hospitals reporting CPT 10004 →Price type
Baylor Scott & White Medical Center - Brenham’s median price of $187 is 59% below the median hospital's median price ($461), higher than 33% 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: 8 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 | Baylor Scott White Health Plan medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $46.84 | $46.84 | $46.84 – $46.84 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $51.78 | $51.78 | $51.78 – $51.78 |
| 3 | Superior Healthplan medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $51.78 | $51.78 | $51.78 – $51.78 |
| 4 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $55.23 | $55.23 | $55.23 – $55.23 |
| 5 | Baylor Scott White Health Plan bsw premier - small group facility · percent of total billed charges · outpatientfrom % of charges | $59.17 | $59.17 | $59.17 – $59.17 |
| 6 | Baylor Scott White Health Plan bsw premier - individual facility · percent of total billed charges · outpatientfrom % of charges | $61.90 | $61.90 | $61.90 – $61.90 |
| 7 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $71.00 | $71.00 | $71.00 – $71.00 |
| 8 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $71.42 | $71.42 | $71.42 – $71.42 |
| 9 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $75.00 | $75.00 | $75.00 – $75.00 |
| 10 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $81.00 | $81.00 | $81.00 – $81.00 |
| 11 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $85.00 | $85.00 | $85.00 – $85.00 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · percent of total billed charges · outpatientfrom % of charges | $88.76 | $88.76 | $88.76 – $88.76 |
| 13 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $137.99 | $137.99 | $137.99 – $137.99 |
| 14 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $162.34 | $162.34 | $162.34 – $162.34 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $187.00 | $187.00 | $187.00 – $187.00 |
| 16 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $190.41 | $190.41 | $190.41 – $190.41 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $208.62 | $208.62 | $208.62 – $208.62 |
| 18 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $223.79 | $223.79 | $223.79 – $223.79 |
| 19 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $265.52 | $265.52 | $265.52 – $265.52 |
| 20 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $265.52 | $265.52 | $265.52 – $265.52 |
| 21 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $265.52 | $265.52 | $265.52 – $265.52 |
| 22 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $303.45 | $303.45 | $303.45 – $303.45 |
| 23 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $303.45 | $303.45 | $303.45 – $303.45 |
Last updated: Jun 12, 2026
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