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
Grand Rapids, MN
See all hospitals reporting CPT 10004 →Price type
Grand Itasca Clinic and Hospital’s median price of $39 is 92% below the median hospital's median price ($461), higher than 4% 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, 19 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 | Medica accessability professional · fee schedule · both | $30.28 | $30.28 | $30.28 – $30.28 |
| 2 | Medica managed medicaid professional · fee schedule · both | $30.28 | $30.28 | $30.28 – $30.28 |
| 3 | Medica medicare advantage non-snp professional · fee schedule · both | $30.28 | $30.28 | $30.28 – $30.28 |
| 4 | Ucare pmap professional · fee schedule · both | $31.34 | $31.34 | $31.34 – $31.34 |
| 5 | Bcbs Mn pmap professional · fee schedule · both | $32.40 | $32.40 | $32.40 – $32.40 |
| 6 | Bcbs Mn pmap facility · fee schedule · outpatient | $37.68 | $37.68 | $37.68 – $37.68 |
| 7 | Medica msho-dual/medicare advantage snp professional · fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 8 | Sanford Health Plan medicare advantage professional · fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 10 | WellCare medicare advantage professional · fee schedule · both | $38.78 | $38.78 | $38.78 – $38.78 |
| 11 | Bcbs Mn medicare advantage professional · fee schedule · both | $40.33 | $40.33 | $40.33 – $40.33 |
| 12 | Ucare medicare advantage/msho professional · fee schedule · both | $40.72 | $40.72 | $40.72 – $40.72 |
| 13 | Ucare individual and family plans professional · fee schedule · both | $93.17 | $93.17 | $93.17 – $93.17 |
| 14 | Bcbs Mn aware federal facility · fee schedule · outpatient | $99.40 | $99.40 | $99.40 – $99.40 |
| 15 | Bcbs Mn aware/blue plus facility · fee schedule · outpatient | $101.19 | $101.19 | $101.19 – $101.19 |
| 16 | Medica commercial professional · fee schedule · both | $111.70 | $111.70 | $111.70 – $111.70 |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $130.10 | $130.10 | $130.10 – $130.10 |
| 18 | Bcbs Mn aware federal professional · fee schedule · both | $135.17 | $135.17 | $135.17 – $135.17 |
| 19 | Bcbs Mn aware/blue plus professional · fee schedule · both | $137.60 | $137.60 | $137.60 – $137.60 |
Last updated: Jan 28, 2026
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