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 FNA BX W/O IMAGE GUID EA ADDL LES
Falls Church, VA
See all hospitals reporting CPT 10004 →Price type
Inova Fairfax Hospital’s median price of $1.1k is 131% above the median hospital's median price ($461), higher than 64% 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, 15 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 | Kaiser hmo other · both | $904.80 | $904.80 | $904.80 – $904.80 |
| 2 | Kaiser ppo other · both | $904.80 | $904.80 | $904.80 – $904.80 |
| 3 | Carefirst hmo fee schedule · both | $943.00 | $943.00 | $943.00 – $943.00 |
| 4 | Carefirst ppo fee schedule · both | $953.00 | $953.00 | $953.00 – $953.00 |
| 5 | Anthem medicaid advantage fee schedule · both | $966.12 | $966.12 | $966.12 – $966.12 |
| 6 | UnitedHealthcare medicaid advantage fee schedule · both | $985.44 | $985.44 | $985.44 – $985.44 |
| 7 | Humana medicaid advantage fee schedule · both | $1,005 | $1,005 | $1,005 – $1,005 |
| 8 | Aetna medicaid advantage fee schedule · both | $1,014 | $1,014 | $1,014 – $1,014 |
| 9 | Kaiser medicaid advantage fee schedule · both | $1,063 | $1,063 | $1,063 – $1,063 |
| 10 | UnitedHealthcare exchange fee schedule · both | $1,147 | $1,147 | $1,147 – $1,147 |
| 11 | UnitedHealthcare nonoptions fee schedule · both | $1,291 | $1,291 | $1,291 – $1,291 |
| 12 | UnitedHealthcare options fee schedule · both | $1,291 | $1,291 | $1,291 – $1,291 |
| 13 | Aetna fannie-mae fee schedule · both | $2,190 | $2,190 | $2,190 – $2,190 |
| 14 | Aetna hmo fee schedule · both | $2,561 | $2,561 | $2,561 – $2,561 |
| 15 | Aetna ppo fee schedule · both | $2,561 | $2,561 | $2,561 – $2,561 |
Last updated: Apr 1, 2026
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