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
Richardson, TX
See all hospitals reporting CPT 10004 →Price type
Methodist Hospitals of Dallas’s median price of $649 is 41% above the median hospital's median price ($461), higher than 57% 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, 11 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 mrmc percent of total billed charges · bothfrom % of charges | $119.65 | $119.65 | $119.65 – $119.65 |
| 2 | Blue Cross Blue Shield mhs hb bcbs my blue health mrmc percent of total billed charges · bothfrom % of charges | $387.19 | $387.19 | $387.19 – $387.19 |
| 3 | Molina mhs hb medicaid 110% star plus mrmc percent of total billed charges · bothfrom % of charges | $515.21 | $515.21 | $515.21 – $515.21 |
| 4 | Aetna mhs hb aetna cvs mrmc percent of total billed charges · bothfrom % of charges | $587.03 | $587.03 | $587.03 – $587.03 |
| 5 | Aetna mhs hb aetna exchange mrmc 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 mrmc 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 mrmc 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 mrmc 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 mrmc 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 mrmc 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 mrmc percent of total billed charges · bothfrom % of charges | $749.40 | $749.40 | $749.40 – $749.40 |
Last updated: Mar 21, 2026
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