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
Grayling, MI
See all hospitals reporting CPT 10004 →Price type
Munson Healthcare Grayling’s median price of $42 is 91% below the median hospital's median price ($461), higher than 7% 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: 7 payers, 22 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 | Blue Cross Blue Shield commercial professional · fee schedule · both | $11.74 | $24.95 | $9.98 – $54.60 |
| 2 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $27.03 | $27.03 | $27.03 – $27.03 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $27.03 | $27.03 | $27.03 – $27.03 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $27.03 | $27.03 | $27.03 – $27.03 |
| 5 | Molina managed medicaid professional · fee schedule · both | $27.69 | $27.69 | $27.69 – $27.69 |
| 6 | UnitedHealthcare managed medicaid professional · fee schedule · both | $27.69 | $27.69 | $27.69 – $27.69 |
| 7 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $28.24 | $28.24 | $28.24 – $28.24 |
| 8 | Aetna medicare advantage professional · fee schedule · both | $36.75 | $36.75 | $36.75 – $36.75 |
| 9 | Humana medicare advantage professional · fee schedule · both | $36.75 | $36.75 | $36.75 – $36.75 |
| 10 | Molina medicare advantage professional · fee schedule · both | $36.75 | $36.75 | $36.75 – $36.75 |
| 11 | WellCare medicare advantage professional · fee schedule · both | $36.75 | $36.75 | $36.75 – $36.75 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $41.71 | $41.71 | $41.71 – $41.71 |
| 13 | Aetna medicare advantage facility · fee schedule · outpatient | $51.69 | $51.69 | $51.69 – $51.69 |
| 14 | Humana medicare advantage facility · fee schedule · outpatient | $51.69 | $51.69 | $51.69 – $51.69 |
| 15 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $51.69 | $51.69 | $51.69 – $51.69 |
| 16 | WellCare medicare advantage facility · fee schedule · outpatient | $51.69 | $51.69 | $51.69 – $51.69 |
| 17 | Aetna commercial professional · fee schedule · both | $55.34 | $55.34 | $55.34 – $55.34 |
| 18 | Molina medicare advantage facility · fee schedule · outpatient | $55.83 | $55.83 | $55.83 – $55.83 |
| 19 | Cigna commercial professional · fee schedule · both | $59.25 | $59.25 | $59.25 – $59.25 |
| 20 | Cigna commercial facility · fee schedule · outpatient | $59.77 | $59.77 | $59.77 – $59.77 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $64.17 | $64.17 | $64.17 – $64.17 |
| 22 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $452.00 | $452.00 | $452.00 – $452.00 |
Last updated: Apr 17, 2026
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