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
IR FNA BIOPSY EA ADDTL LES W/O
Angeles, CA
See all hospitals reporting CPT 10004 →Price type
Childrens Hospital of Los Angeles’s median price of $97 is 79% below the median hospital's median price ($461), higher than 25% 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, 35 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 | Medicaid california childrens services government professional · fee schedule · outpatient | $23.85 | $23.85 | $23.85 – $23.85 |
| 2 | Medicaid medi-cal professional · fee schedule · outpatient | $23.85 | $23.85 | $23.85 – $23.85 |
| 3 | Molina molina mmc professional · fee schedule · outpatient | $23.85 | $23.85 | $23.85 – $23.85 |
| 4 | Medicaid california childrens services government facility · other · outpatient | $45.05 | $45.05 | $45.05 – $45.05 |
| 5 | Medicaid medi-cal facility · other · outpatient | $45.05 | $45.05 | $45.05 – $45.05 |
| 6 | Medicare medicare professional · fee schedule · outpatient | $55.96 | $55.96 | $55.96 – $55.96 |
| 7 | Kaiser kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $74.09 | $74.09 | $74.09 – $74.09 |
| 8 | Blue Cross Blue Shield blue shield marketplace facility · other · outpatient | $85.86 | $85.86 | $85.86 – $85.86 |
| 9 | Blue Cross Blue Shield blue shield marketplace professional · fee schedule · outpatient | $85.86 | $85.86 | $85.86 – $85.86 |
| 10 | Aetna aetna commercial professional · fee schedule · outpatient | $87.45 | $87.45 | $87.45 – $87.45 |
| 11 | Aetna aetna commercial facility · other · outpatient | $87.61 | $87.61 | $87.61 – $87.61 |
| 12 | Blue Cross Blue Shield blue shield promise mmc facility · other · outpatient | $89.15 | $89.15 | $89.15 – $89.15 |
| 13 | Blue Cross Blue Shield blue shield commercial facility · other · outpatient | $90.31 | $90.31 | $90.31 – $90.31 |
| 14 | Blue Cross Blue Shield blue shield commercial professional · fee schedule · outpatient | $90.31 | $90.31 | $90.31 – $90.31 |
| 15 | Kaiser kaiser commercial professional · fee schedule · outpatient | $90.63 | $90.63 | $90.63 – $90.63 |
| 16 | Anthem anthem blue cross select professional · fee schedule · outpatient | $92.86 | $92.86 | $92.86 – $92.86 |
| 17 | Anthem anthem blue cross commercial professional · fee schedule · outpatient | $94.75 | $94.75 | $94.75 – $94.75 |
| 18 | Molina molina mmc facility · other · outpatient | $95.06 | $95.06 | $95.06 – $95.06 |
| 19 | UnitedHealthcare united healthcare commercial hmo professional · fee schedule · outpatient | $96.26 | $96.26 | $96.26 – $96.26 |
| 20 | Anthem anthem blue cross marketplace professional · fee schedule · outpatient | $108.76 | $108.76 | $108.76 – $108.76 |
| 21 | MultiPlan multiplan commercial facility · percent of total billed charges · inpatientfrom % of charges | $111.30 | $111.30 | $111.30 – $111.30 |
| 22 | MultiPlan multiplan commercial facility · percent of total billed charges · outpatientfrom % of charges | $111.30 | $111.30 | $111.30 – $111.30 |
| 23 | MultiPlan multiplan commercial professional · fee schedule · outpatient | $111.30 | $111.30 | $111.30 – $111.30 |
| 24 | UnitedHealthcare united healthcare commercial ppo select professional · fee schedule · outpatient | $114.31 | $114.31 | $114.31 – $114.31 |
| 25 | UnitedHealthcare united healthcare commercial ppo professional · fee schedule · outpatient | $123.88 | $123.88 | $123.88 – $123.88 |
Last updated: Apr 10, 2026
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