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 WO Imaging Guidance Ea Add Lesion
Dallas, TX
See all hospitals reporting CPT 10004 →Price type
Methodist Hospitals of Dallas’s median price of $749 is 63% above the median hospital's median price ($461), higher than 60% 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: 4 payers, 17 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 mhs hb united medicaid star plus mdmc percent of total billed charges · bothfrom % of charges | $102.54 | $102.54 | $102.54 – $102.54 |
| 2 | Blue Cross Blue Shield mhs hb bcbs my blue health mdmc percent of total billed charges · bothfrom % of charges | $387.19 | $387.19 | $387.19 – $387.19 |
| 3 | Molina mhs hb medicaid 110% star plus mdmc percent of total billed charges · bothfrom % of charges | $441.40 | $441.40 | $441.40 – $441.40 |
| 4 | Aetna mhs hb aetna cvs mdmc percent of total billed charges · bothfrom % of charges | $587.03 | $587.03 | $587.03 – $587.03 |
| 5 | Aetna mhs hb aetna exchange mdmc percent of total billed charges · bothfrom % of charges | $587.03 | $587.03 | $587.03 – $587.03 |
| 6 | Blue Cross Blue Shield mhs hb bcbs high performance network mdmc percent of total billed charges · bothfrom % of charges | $649.48 | $649.48 | $649.48 – $649.48 |
| 7 | Blue Cross Blue Shield mhs hb bcbs premier mdmc percent of total billed charges · bothfrom % of charges | $649.48 | $649.48 | $649.48 – $649.48 |
| 8 | Blue Cross Blue Shield mhs hb bcbs city of dallas mdmc percent of total billed charges · bothfrom % of charges | $674.46 | $674.46 | $674.46 – $674.46 |
| 9 | Blue Cross Blue Shield mhs hb bcbs hmo mdmc percent of total billed charges · bothfrom % of charges | $686.95 | $686.95 | $686.95 – $686.95 |
| 10 | Blue Cross Blue Shield mhs hb bcbs ppo mdmc percent of total billed charges · bothfrom % of charges | $749.40 | $749.40 | $749.40 – $749.40 |
| 11 | Blue Cross Blue Shield mhs hb bcbs traditional mdmc percent of total billed charges · bothfrom % of charges | $749.40 | $749.40 | $749.40 – $749.40 |
| 12 | Aetna mhs hb aetna baylor scott and white mdmc percent of total billed charges · bothfrom % of charges | $843.08 | $843.08 | $843.08 – $843.08 |
| 13 | Aetna mhs hb aetna texas advantage mdmc percent of total billed charges · bothfrom % of charges | $843.08 | $843.08 | $843.08 – $843.08 |
| 14 | Aetna mhs hb aetna whole health mdmc percent of total billed charges · bothfrom % of charges | $843.08 | $843.08 | $843.08 – $843.08 |
| 15 | Aetna mhs hb aetna transplant network mdmc percent of total billed charges · bothfrom % of charges | $874.30 | $874.30 | $874.30 – $874.30 |
| 16 | Aetna mhs hb aetna hmo ppo mdmc percent of total billed charges · bothfrom % of charges | $936.75 | $936.75 | $936.75 – $936.75 |
| 17 | Aetna mhs hb aetna tx pref plus ii mdmc case rate · both | $12,159 | $12,159 | $12,159 – $12,159 |
Last updated: Mar 20, 2026
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