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
Dallas, TX
See all hospitals reporting CPT 10004 →Price type
Baylor University Medical Center’s median price of $223 is 52% below the median hospital's median price ($461), higher than 37% 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: 10 payers, 26 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $59.71 | $59.71 | $59.71 – $59.71 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $63.89 | $63.89 | $63.89 – $63.89 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $129.95 | $129.95 | $129.95 – $129.95 |
| 4 | 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 | $173.15 | $173.15 | $173.15 – $173.15 |
| 5 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $173.15 | $173.15 | $173.15 – $173.15 |
| 6 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $182.63 | $182.63 | $182.63 – $182.63 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $193.17 | $193.17 | $193.17 – $193.17 |
| 8 | 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 | $203.70 | $203.70 | $203.70 – $203.70 |
| 9 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $203.70 | $203.70 | $203.70 – $203.70 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $210.73 | $210.73 | $210.73 – $210.73 |
| 11 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $218.42 | $218.42 | $218.42 – $218.42 |
| 12 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $218.42 | $218.42 | $218.42 – $218.42 |
| 13 | Ambetter ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $228.29 | $228.29 | $228.29 – $228.29 |
| 14 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $242.69 | $242.69 | $242.69 – $242.69 |
| 15 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $245.85 | $245.85 | $245.85 – $245.85 |
| 16 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $245.85 | $245.85 | $245.85 – $245.85 |
| 17 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $245.85 | $245.85 | $245.85 – $245.85 |
| 18 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $245.85 | $245.85 | $245.85 – $245.85 |
| 19 | Optum commercial facility · percent of total billed charges · outpatientfrom % of charges | $245.85 | $245.85 | $245.85 – $245.85 |
| 20 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $259.90 | $259.90 | $259.90 – $259.90 |
| 21 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $273.94 | $273.94 | $273.94 – $273.94 |
| 22 | UnitedHealthcare charter facility · case rate · outpatient | $1,896 | $1,896 | $1,896 – $1,896 |
| 23 | UnitedHealthcare nexus facility · case rate · outpatient | $1,896 | $1,896 | $1,896 – $1,896 |
| 24 | UnitedHealthcare commercial broad facility · case rate · outpatient | $2,107 | $2,107 | $2,107 – $2,107 |
| 25 | Cigna local plus facility · case rate · inpatient | $6,299 | $6,299 | $6,299 – $6,299 |
Last updated: Jun 29, 2026
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