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
City, UT
See all hospitals reporting CPT 10004 →Price type
IHC Health Services Inc., DBA Intermountain Primary Children's Hospital’s median price of $49 is 89% below the median hospital's median price ($461), higher than 12% 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: 2 payers, 5 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 | Molina medicaid professional · fee schedule · outpatient | $45.40 | $45.40 | $41.32 – $49.48 |
| 2 | Molina medicare advantage professional · fee schedule · outpatient | $45.40 | $45.40 | $41.32 – $49.48 |
| 3 | Molina medicare choice care hmo professional · fee schedule · outpatient | $45.40 | $45.40 | $41.32 – $49.48 |
| 4 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $45.40 | $45.40 | $41.32 – $49.48 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $45.40 | $45.40 | $41.32 – $49.48 |
Last updated: Aug 5, 2026
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