Fine needle biopsy of additional lesions at Carolinas Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC ER FNA BX W/OUT GDN EA ADDL

Charlotte, NC

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How this price compares nationally

Carolinas Medical Center’s median price of $426 is 8% below the median hospital's median price ($461), higher than 47% of the 1,449 hospitals reporting CPT 10004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10004 at Carolinas Medical Center

Negotiated rates from the hospital’s own file: 15 payers, 54 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	Amerihealth Caritas managed medicaid fee schedule · both	$37.35	$37.35	$37.35 – $37.35
2	UnitedHealthcare managed medicaid fee schedule · both	$37.35	$37.35	$37.35 – $37.35
3	WellCare managed medicaid fee schedule · both	$37.35	$37.35	$37.35 – $37.35
4	Cigna Healthspring medicare advantage fee schedule · both	$39.76	$39.76	$39.76 – $39.76
5	Humana medicare advantage fee schedule · both	$40.56	$40.56	$40.56 – $40.56
6	Aetna medicare advantage fee schedule · both	$41.15	$41.15	$41.15 – $41.15
7	UnitedHealthcare medicare advantage case rate · both	$41.26	$41.26	$41.26 – $41.26
8	Molina managed medicaid fee schedule · outpatient	$42.85	$42.85	$42.85 – $42.85
9	Humana medicare advantage fee schedule · outpatient	$49.72	$49.72	$49.72 – $49.72
10	Aetna medicare advantage fee schedule · outpatient	$50.45	$50.45	$50.45 – $50.45
11	Cigna Healthspring medicare advantage fee schedule · outpatient	$51.18	$51.18	$51.18 – $51.18
12	UnitedHealthcare medicare advantage fee schedule · outpatient	$51.33	$51.33	$51.33 – $51.33
13	Molina managed medicaid case rate · outpatient	$75.38	$75.38	$75.38 – $75.38
14	Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges	$181.63	$181.63	$181.63 – $181.63
15	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$185.05	$185.05	$185.05 – $185.05
16	Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges	$220.69	$220.69	$220.69 – $220.69
17	Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges	$252.34	$252.34	$252.34 – $252.34
18	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$271.74	$271.74	$271.74 – $271.74
19	Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges	$288.15	$288.15	$288.15 – $288.15
20	Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges	$307.30	$307.30	$307.30 – $307.30
21	Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges	$333.20	$333.20	$333.20 – $333.20
22	UnitedHealthcare iex commercial percent of total billed charges · outpatientfrom % of charges	$345.61	$345.61	$345.61 – $345.61
23	Ambetter cobranded commercial percent of total billed charges · inpatientfrom % of charges	$354.02	$354.02	$354.02 – $354.02
24	Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges	$367.98	$367.98	$347.53 – $388.42
25	UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges	$368.93	$368.93	$368.93 – $368.93

Page 1 of 3 · 54 rates

Last updated: Dec 5, 2025

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