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
St. Paul, MN
See all hospitals reporting CPT 10004 →Price type
Fairview Bethesda Hospital’s median price of $42 is 91% below the median hospital's median price ($461), higher than 7% 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: 6 payers, 21 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 | Ucare pmap fee schedule · both | $29.04 | $29.04 | $29.04 – $29.04 |
| 2 | Medica minnesota care/accessability/choice care government fee schedule · both | $30.28 | $30.28 | $30.28 – $30.28 |
| 3 | Bcbs Mn managed medicaid fee schedule · both | $32.40 | $32.40 | $32.40 – $32.40 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 6 | WellCare medicare advantage fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $40.33 | $40.33 | $40.33 – $40.33 |
| 8 | Medica medicare advantage fee schedule · both | $41.66 | $41.66 | $41.66 – $41.66 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $41.88 | $41.88 | $41.88 – $41.88 |
| 10 | Medica msho fee schedule · both | $42.44 | $42.44 | $42.44 – $42.44 |
| 11 | Ucare individual and family with m health fairview fee schedule · both | $102.34 | $102.34 | $102.34 – $102.34 |
| 12 | Ucare individual and family fee schedule · both | $107.81 | $107.81 | $107.81 – $107.81 |
| 13 | Medica bold fee schedule · both | $122.05 | $122.05 | $122.05 – $122.05 |
| 14 | UnitedHealthcare commercial fee schedule · both | $130.10 | $130.10 | $130.10 – $130.10 |
| 15 | UnitedHealthcare core fee schedule · both | $130.10 | $130.10 | $130.10 – $130.10 |
| 16 | Medica vantage si fee schedule · both | $132.22 | $132.22 | $132.22 – $132.22 |
| 17 | Medica city of st paul and essential/uplan fee schedule · both | $135.61 | $135.61 | $135.61 – $135.61 |
| 18 | Medica individual and family, elect fee schedule · both | $135.61 | $135.61 | $135.61 – $135.61 |
| 19 | Medica choice fee schedule · both | $140.35 | $140.35 | $140.35 – $140.35 |
| 20 | Bcbs Mn aware federal fee schedule · both | $144.08 | $144.08 | $144.08 – $144.08 |
| 21 | Bcbs Mn commercial fee schedule · both | $146.67 | $146.67 | $146.67 – $146.67 |
Last updated: Jan 29, 2026
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