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
Monticello, IN
See all hospitals reporting CPT 10004 →Price type
Indiana University Health White Memorial Hospital Inc.’s median price of $328 is 29% below the median hospital's median price ($461), higher than 42% 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: 5 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 | Caresource all government medicaid hip fee schedule · outpatient | $159.12 | $159.12 | $159.12 – $159.12 |
| 2 | Caresource all managed medicaid fee schedule · outpatient | $159.12 | $159.12 | $159.12 – $159.12 |
| 3 | UnitedHealthcare all managed medicaid fee schedule · outpatient | $159.12 | $159.12 | $159.12 – $159.12 |
| 4 | Aetna hmo - coventry plans percent of total billed charges · outpatientfrom % of charges | $301.21 | $301.21 | $298.53 – $303.88 |
| 5 | Aetna ppo/pos percent of total billed charges · outpatientfrom % of charges | $301.21 | $301.21 | $298.53 – $303.88 |
| 6 | Aetna pos - cox medical plans percent of total billed charges · outpatientfrom % of charges | $302.89 | $302.89 | $300.20 – $305.58 |
| 7 | Aetna ppo - in preferred percent of total billed charges · outpatientfrom % of charges | $302.89 | $302.89 | $300.20 – $305.58 |
| 8 | UnitedHealthcare all managed care percent of total billed charges · outpatientfrom % of charges | $323.84 | $323.84 | $320.96 – $326.71 |
| 9 | Aetna ppo - first health percent of total billed charges · outpatientfrom % of charges | $326.54 | $326.54 | $323.64 – $329.44 |
| 10 | Aetna ppo - nap percent of total billed charges · outpatientfrom % of charges | $326.54 | $326.54 | $323.64 – $329.44 |
| 11 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $351.54 – $357.84 |
| 12 | Cigna hmo - open access percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $351.54 – $357.84 |
| 13 | Cigna hmo/pos - arnett hospital plans percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $351.54 – $357.84 |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $351.54 – $357.84 |
| 15 | Cigna ppo - drg plans percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $351.54 – $357.84 |
| 16 | Cigna ppo - non-drg percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $351.54 – $357.84 |
| 17 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $478.55 | $478.55 | $474.30 – $482.80 |
| 18 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $506.70 | $506.70 | $502.20 – $511.20 |
Last updated: Mar 25, 2026
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