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/US GDN 1ST LES
Grapevine, TX
See all hospitals reporting CPT 10005 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $1.2k is 30% above the median hospital's median price ($902), higher than 63% of the 2,359 hospitals reporting CPT 10005. 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, 39 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 advantage facility · case rate · outpatient | $126.87 | $126.87 | $126.87 – $126.87 |
| 2 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient | $179.42 | $179.42 | $179.42 – $179.42 |
| 3 | Blue Cross Blue Shield city of dallas facility · case rate · outpatient | $240.97 | $240.97 | $240.97 – $240.97 |
| 4 | Blue Cross Blue Shield blue essentials (hmo) facility · case rate · outpatient | $254.49 | $254.49 | $254.49 – $254.49 |
| 5 | Superior Healthplan medicaid facility · fee schedule · outpatient | $257.60 | $257.60 | $257.60 – $257.60 |
| 6 | Aetna medicaid facility · fee schedule · outpatient | $262.75 | $262.75 | $262.75 – $262.75 |
| 7 | Blue Cross Blue Shield bluechoice (ppo) facility · case rate · outpatient | $268.00 | $268.00 | $268.00 – $268.00 |
| 8 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $275.63 | $275.63 | $275.63 – $275.63 |
| 9 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $676.90 | $676.90 | $676.90 – $676.90 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $712.53 | $712.53 | $712.53 – $712.53 |
| 11 | Humana medicare facility · fee schedule · outpatient | $712.53 | $712.53 | $712.53 – $712.53 |
| 12 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $748.16 | $748.16 | $748.16 – $748.16 |
| 13 | Superior Healthplan medicare facility · fee schedule · outpatient | $748.16 | $748.16 | $748.16 – $748.16 |
| 14 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $798.03 | $798.03 | $798.03 – $798.03 |
| 15 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $855.04 | $855.04 | $855.04 – $855.04 |
| 16 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $894.23 | $894.23 | $894.23 – $894.23 |
| 17 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $916.18 | $916.18 | $890.73 – $941.63 |
| 18 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $1,176 | $1,176 | $1,176 – $1,176 |
| 19 | 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 | $1,255 | $1,255 | $1,255 – $1,255 |
| 20 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $1,255 | $1,255 | $1,255 – $1,255 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,400 | $1,400 | $1,400 – $1,400 |
| 22 | 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 | $1,476 | $1,476 | $1,476 – $1,476 |
| 23 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,476 | $1,476 | $1,476 – $1,476 |
| 24 | Ambetter ambetter exchange facility · fee schedule · outpatient | $1,532 | $1,532 | $1,532 – $1,532 |
| 25 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $1,583 | $1,583 | $1,583 – $1,583 |
Last updated: Jun 29, 2026
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