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
FNA W/O IMGNG ADDL LSN
Norfolk, VA
See all hospitals reporting CPT 10004 →Price type
Children's Hospital of the King's Daughters’s median price of $269 is 42% below the median hospital's median price ($461), higher than 40% 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: 12 payers, 22 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 all products facility · percent of total billed charges · outpatientfrom % of charges | $68.62 | $68.62 | $68.62 – $68.62 |
| 2 | WellCare all products facility · percent of total billed charges · outpatientfrom % of charges | $70.68 | $70.68 | $70.68 – $70.68 |
| 3 | Cigna all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $198.10 | $198.10 | $198.10 – $198.10 |
| 4 | Cigna all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $198.10 | $198.10 | $198.10 – $198.10 |
| 5 | UnitedHealthcare mamsi facility · percent of total billed charges · inpatientfrom % of charges | $225.84 | $225.84 | $225.84 – $225.84 |
| 6 | UnitedHealthcare mamsi facility · percent of total billed charges · outpatientfrom % of charges | $225.84 | $225.84 | $225.84 – $225.84 |
| 7 | Aetna all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $245.24 | $245.24 | $245.24 – $245.24 |
| 8 | Aetna all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $245.24 | $245.24 | $245.24 – $245.24 |
| 9 | UnitedHealthcare onenet options facility · percent of total billed charges · inpatientfrom % of charges | $245.24 | $245.24 | $245.24 – $245.24 |
| 10 | UnitedHealthcare onenet options facility · percent of total billed charges · outpatientfrom % of charges | $245.24 | $245.24 | $245.24 – $245.24 |
| 11 | Medcost all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $253.59 | $253.59 | $253.59 – $253.59 |
| 12 | First Health all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $268.51 | $268.51 | $268.51 – $268.51 |
| 13 | First Health all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $268.51 | $268.51 | $268.51 – $268.51 |
| 14 | Medcost all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $274.47 | $274.47 | $274.47 – $274.47 |
| 15 | MultiPlan all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $274.47 | $274.47 | $274.47 – $274.47 |
| 16 | MultiPlan all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $274.47 | $274.47 | $274.47 – $274.47 |
| 17 | Phcs all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $274.47 | $274.47 | $274.47 – $274.47 |
| 18 | Phcs all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $283.42 | $283.42 | $283.42 – $283.42 |
| 19 | Anthem all products facility · fee schedule · outpatient | $1,002 | $1,002 | $1,002 – $1,002 |
| 20 | UnitedHealthcare all products facility · fee schedule · outpatient | $1,009 | $1,009 | $1,009 – $1,009 |
| 21 | Aetna Better Health all products facility · fee schedule · outpatient | $1,237 | $1,237 | $1,237 – $1,237 |
| 22 | Humana all products facility · fee schedule · outpatient | $1,237 | $1,237 | $1,237 – $1,237 |
Last updated: Mar 17, 2026
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