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 ER FNA BX W/OUT GDN EA ADDL
Milledgeville, GA
See all hospitals reporting CPT 10004 →Price type
Navicent Health Baldwin Inc’s median price of $802 is 74% 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: 9 payers, 32 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 | Aetna medicare advantage fee schedule · both | $41.18 | $41.18 | $41.18 – $41.18 |
| 2 | Anthem medicare advantage fee schedule · both | $41.18 | $41.18 | $41.18 – $41.18 |
| 3 | Humana medicare advantage fee schedule · both | $41.18 | $41.18 | $41.18 – $41.18 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $41.18 | $41.18 | $41.18 – $41.18 |
| 5 | Caresource medicare advantage fee schedule · both | $42.00 | $42.00 | $42.00 – $42.00 |
| 6 | Clover medicare advantage fee schedule · both | $42.00 | $42.00 | $42.00 – $42.00 |
| 7 | Anthem medicare advantage fee schedule · outpatient | $49.74 | $49.74 | $49.74 – $49.74 |
| 8 | Humana medicare advantage fee schedule · outpatient | $49.74 | $49.74 | $49.74 – $49.74 |
| 9 | UnitedHealthcare medicare advantage fee schedule · outpatient | $49.74 | $49.74 | $49.74 – $49.74 |
| 10 | Aetna medicare advantage fee schedule · outpatient | $50.24 | $50.24 | $50.24 – $50.24 |
| 11 | Caresource medicare advantage fee schedule · outpatient | $50.74 | $50.74 | $50.74 – $50.74 |
| 12 | Clover medicare advantage fee schedule · outpatient | $50.74 | $50.74 | $50.74 – $50.74 |
| 13 | Ambetter managed medicaid fee schedule · both | $55.59 | $55.59 | $55.59 – $55.59 |
| 14 | Anthem hmo fee schedule · both | $87.06 | $87.06 | $87.06 – $87.06 |
| 15 | Anthem ppo fee schedule · both | $87.06 | $87.06 | $87.06 – $87.06 |
| 16 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $802.20 | $802.20 | $802.20 – $802.20 |
| 17 | UnitedHealthcare commercial case rate · outpatient | $1,316 | $1,316 | $1,316 – $1,316 |
| 18 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $1,364 | $1,364 | $1,364 – $1,364 |
| 19 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $1,738 | $1,738 | $1,738 – $1,738 |
| 20 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $1,738 | $1,738 | $1,738 – $1,738 |
| 21 | Aetna hmo/pos percent of total billed charges · inpatientfrom % of charges | $2,059 | $2,059 | $2,059 – $2,059 |
| 22 | Aetna hmo/pos percent of total billed charges · outpatientfrom % of charges | $2,059 | $2,059 | $2,059 – $2,059 |
| 23 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $2,059 | $2,059 | $2,059 – $2,059 |
| 24 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $2,059 | $2,059 | $2,059 – $2,059 |
| 25 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $2,139 | $2,139 | $2,139 – $2,139 |
Last updated: Nov 19, 2025
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