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 Guid Ea Addl Lesn
Melrose Park, IL
See all hospitals reporting CPT 10004 →Price type
Gottlieb Memorial Hospital’s median price of $343 is 26% below the median hospital's median price ($461), higher than 43% 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, 12 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 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $161.79 | $161.79 | $161.79 – $161.79 |
| 2 | Humana all products facility · fee schedule · outpatient | $162.12 | $162.12 | $162.12 – $162.12 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $245.96 | $245.96 | $245.96 – $245.96 |
| 4 | Blue Cross Blue Shield blue choice facility · percent of total billed charges · outpatientfrom % of charges | $275.81 | $275.81 | $275.81 – $275.81 |
| 5 | UnitedHealthcare navigate core facility · percent of total billed charges · outpatientfrom % of charges | $298.50 | $298.50 | $298.50 – $298.50 |
| 6 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $310.44 | $310.44 | $310.44 – $310.44 |
| 7 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $343.28 | $343.28 | $343.28 – $343.28 |
| 8 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $399.99 | $399.99 | $399.99 – $399.99 |
| 9 | Blue Cross Blue Shield blue precision facility · percent of total billed charges · outpatientfrom % of charges | $415.51 | $415.51 | $415.51 – $415.51 |
| 10 | Aetna fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $435.81 | $435.81 | $435.81 – $435.81 |
| 11 | Molina medicaid facility · case rate · outpatient | $660.37 | $660.37 | $660.37 – $660.37 |
| 12 | Aetna all products facility · case rate · outpatient | $2,252 | $2,252 | $2,252 – $2,252 |
Last updated: Mar 31, 2026
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