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 BX W/O IMG GDN EA ADDL
San Bernardino, CA
See all hospitals reporting CPT 10004 →Price type
Dignity Health’s median price of $68 is 85% below the median hospital's median price ($461), higher than 20% 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: 2 payers, 7 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 | Molina medicaid|< 21 fee schedule · outpatient | $63.52 | $63.52 | $63.52 – $63.52 |
| 2 | Molina medicaid|> 21 fee schedule · outpatient | $63.52 | $63.52 | $63.52 – $63.52 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $67.58 | $67.58 | $67.58 – $67.58 |
| 4 | Anthem commercial|non-mcs hmo case rate · outpatient | $1,162 | $1,162 | $1,162 – $1,162 |
| 5 | Anthem commercial|exchange case rate · outpatient | $3,092 | $3,092 | $3,092 – $3,092 |
| 6 | Anthem commercial|non-mcs ppo case rate · outpatient | $4,417 | $4,417 | $4,417 – $4,417 |
| 7 | Anthem commercial|mcs case rate · outpatient | $7,111 | $7,111 | $7,111 – $7,111 |
Last updated: Feb 28, 2026
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