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
Gaylord, MI
See all hospitals reporting CPT 10004 →Price type
Munson Healthcare Otsego Memorial Hospital’s median price of $37 is 92% below the median hospital's median price ($461), higher than 3% 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, 14 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 ppo/traditional/hmo/blue care network 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 | Humana medicare advantage professional · fee schedule · both | $36.75 | $36.75 | $36.75 – $36.75 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · both | $36.75 | $36.75 | $36.75 – $36.75 |
| 10 | Aetna medicare advantage professional · fee schedule · both | $37.12 | $37.12 | $37.12 – $37.12 |
| 11 | Molina medicare advantage professional · fee schedule · both | $39.69 | $39.69 | $39.69 – $39.69 |
| 12 | UnitedHealthcare commercial professional · fee schedule · both | $52.84 | $52.84 | $52.84 – $52.84 |
| 13 | Cigna commercial professional · fee schedule · both | $59.25 | $59.25 | $59.25 – $59.25 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $59.77 | $59.77 | $59.77 – $59.77 |
Last updated: Apr 17, 2026
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