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 $443 is 4% below the median hospital's median price ($461), higher than 48% 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: 12 payers, 33 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	Bcbs Nc 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	Cigna Healthspring medicare advantage fee schedule · both	$41.75	$41.75	$41.75 – $41.75
8	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$158.23	$158.23	$158.23 – $158.23
9	Bcbs Nc medicare advantage percent of total billed charges · outpatientfrom % of charges	$158.23	$158.23	$158.23 – $158.23
10	Cigna Healthspring medicare advantage percent of total billed charges · outpatientfrom % of charges	$158.23	$158.23	$158.23 – $158.23
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$158.23	$158.23	$158.23 – $158.23
12	Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges	$181.63	$181.63	$181.63 – $181.63
13	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$185.05	$185.05	$185.05 – $185.05
14	Medcost commercial percent of total billed charges · inpatientfrom % of charges	$258.17	$258.17	$258.17 – $258.17
15	Medcost commercial percent of total billed charges · outpatientfrom % of charges	$266.50	$266.50	$266.50 – $266.50
16	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$271.74	$271.74	$271.74 – $271.74
17	Bcbs Nc local group commercial percent of total billed charges · inpatientfrom % of charges	$336.45	$336.45	$336.45 – $336.45
18	Bcbs Nc local individual commercial percent of total billed charges · inpatientfrom % of charges	$353.52	$353.52	$353.52 – $353.52
19	Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges	$430.23	$430.23	$366.60 – $493.85
20	Bcbs Nc hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges	$442.72	$442.72	$442.72 – $442.72
21	Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges	$485.94	$485.94	$333.54 – $638.34
22	Magellan behavioral health percent of total billed charges · outpatientfrom % of charges	$499.68	$499.68	$499.68 – $499.68
23	Aetna broad network percent of total billed charges · outpatientfrom % of charges	$531.33	$531.33	$531.33 – $531.33
24	Aetna preferred percent of total billed charges · outpatientfrom % of charges	$531.33	$531.33	$531.33 – $531.33
25	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$531.33	$531.33	$531.33 – $531.33

Page 1 of 2 · 33 rates

Last updated: Dec 4, 2025

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