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
Wilkes-Barre, PA
See all hospitals reporting CPT 10004 →Price type
Geisinger Wyoming Valley’s median price of $228 is 51% below the median hospital's median price ($461), higher than 38% 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, 18 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 highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $93.82 | $93.82 | $93.82 – $93.82 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $104.10 | $104.10 | $104.10 – $104.10 |
| 6 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $134.04 | $134.04 | $134.04 – $134.04 |
| 7 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $179.27 | $179.27 | $179.27 – $179.27 |
| 8 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $188.14 | $188.14 | $188.14 – $188.14 |
| 9 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $212.94 | $212.94 | $212.94 – $212.94 |
| 10 | UnitedHealthcare united healthcare - client specific rate percent of total billed charges · outpatientfrom % of charges | $232.50 | $232.50 | $232.50 – $232.50 |
| 11 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $298.94 | $298.94 | $298.94 – $298.94 |
| 12 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $298.94 | $298.94 | $298.94 – $298.94 |
| 13 | MultiPlan beech street percent of total billed charges · inpatientfrom % of charges | $386.75 | $386.75 | $386.75 – $386.75 |
| 14 | MultiPlan beech street percent of total billed charges · outpatientfrom % of charges | $386.75 | $386.75 | $386.75 – $386.75 |
| 15 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $386.75 | $386.75 | $386.75 – $386.75 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $386.75 | $386.75 | $386.75 – $386.75 |
| 17 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $16,229 | $16,229 | $16,229 – $16,229 |
| 18 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $23,185 | $23,185 | $23,185 – $23,185 |
Last updated: Jul 1, 2026
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