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
HC BX FNA W/O IG EA ADDL LESN
Lewistown, PA
See all hospitals reporting CPT 10004 →Price type
Geisinger Lewistown Hospital’s median price of $221 is 52% below the median hospital's median price ($461), higher than 37% 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, 16 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 medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.47 | $1.47 | $1.47 – $1.47 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Blue Cross Blue Shield capital - special network rates percent of total billed charges · outpatientfrom % of charges | $140.46 | $140.46 | $140.46 – $140.46 |
| 5 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $177.91 | $177.91 | $177.91 – $177.91 |
| 6 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $179.36 | $179.36 | $179.36 – $179.36 |
| 7 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $193.83 | $193.83 | $193.83 – $193.83 |
| 8 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $200.66 | $200.66 | $200.66 – $200.66 |
| 9 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $207.48 | $207.48 | $207.48 – $207.48 |
| 10 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $207.48 | $207.48 | $207.48 – $207.48 |
| 11 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $226.50 | $226.50 | $226.50 – $226.50 |
| 12 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $386.75 | $386.75 | $386.75 – $386.75 |
| 13 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $386.75 | $386.75 | $386.75 – $386.75 |
| 14 | Cigna cigna case rate · inpatient | $16,340 | $16,340 | $16,340 – $16,340 |
| 15 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $17,050 | $17,050 | $17,050 – $17,050 |
| 16 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $24,358 | $24,358 | $24,358 – $24,358 |
Last updated: Jul 1, 2026
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