Fine needle biopsy of additional lesions at MaineHealth

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC FNA BX W/O IMG GDN EA ADDL LES

Portland, ME

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Pricing by billing methodology

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How this price compares nationally

MaineHealth’s median price of $172 is 63% below the median hospital's median price ($461), higher than 33% of the 1,449 hospitals reporting CPT 10004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10004 at MaineHealth

Negotiated rates from the hospital’s own file: 7 payers, 24 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	UnitedHealthcare medicare advantage case rate · both	$40.75	$40.75	$40.75 – $40.75
2	Anthem medicare advantage case rate · both	$41.16	$41.16	$41.16 – $41.16
3	Aetna medicare advantage case rate · both	$41.57	$41.57	$41.57 – $41.57
4	Humana medicare advantage case rate · both	$46.86	$46.86	$46.86 – $46.86
5	WellCare medicare advantage case rate · both	$46.86	$46.86	$46.86 – $46.86
6	Aetna hmo fee schedule · both	$56.01	$56.01	$56.01 – $56.01
7	Aetna ppo fee schedule · both	$56.01	$56.01	$56.01 – $56.01
8	MultiPlan commercial fee schedule · both	$79.04	$79.04	$79.04 – $79.04
9	UnitedHealthcare commercial fee schedule · both	$85.36	$85.36	$85.36 – $85.36
10	Anthem hmo/pos/ppo/pathway enhanced fee schedule · both	$88.34	$88.34	$88.34 – $88.34
11	Cigna oap fee schedule · both	$91.08	$91.08	$91.08 – $91.08
12	Cigna ppo fee schedule · both	$91.08	$91.08	$91.08 – $91.08
13	Aetna hmo percent of total billed charges · inpatientfrom % of charges	$184.51	$184.51	$184.51 – $184.51
14	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$184.51	$184.51	$184.51 – $184.51
15	Cigna oap percent of total billed charges · inpatientfrom % of charges	$186.40	$186.40	$186.40 – $186.40
16	Cigna oap percent of total billed charges · outpatientfrom % of charges	$186.40	$186.40	$186.40 – $186.40
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$190.66	$190.66	$190.66 – $190.66
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$190.66	$190.66	$190.66 – $190.66
19	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$190.83	$190.83	$190.83 – $190.83
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$190.83	$190.83	$190.83 – $190.83
21	UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges	$206.66	$206.66	$206.66 – $206.66
22	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$206.66	$206.66	$206.66 – $206.66
23	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$208.59	$208.59	$208.59 – $208.59
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$208.59	$208.59	$208.59 – $208.59

Last updated: Sep 9, 2025

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