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
HB Fna Bx W/O Img Gdn Ea Addl
Lake Forest, IL
See all hospitals reporting CPT 10004 →Price type
Northwestern Lake Forest Hospital’s median price of $491 is 6% above the median hospital's median price ($461), higher than 52% 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, 13 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 nlfh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $127.16 | $127.16 | $127.16 – $127.16 |
| 2 | Blue Cross Blue Shield nlfh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $162.32 | $162.32 | $162.32 – $162.32 |
| 3 | Cigna nlfh cigna alternative percent of total billed charges · outpatientfrom % of charges | $288.78 | $288.78 | $288.78 – $288.78 |
| 4 | Aetna nlfh aetna percent of total billed charges · outpatientfrom % of charges | $329.38 | $329.38 | $329.38 – $329.38 |
| 5 | Blue Cross Blue Shield nlfh bc lake county phys assoc ipa percent of total billed charges · outpatientfrom % of charges | $344.70 | $344.70 | $344.70 – $344.70 |
| 6 | Aetna nlfh aetna asa percent of total billed charges · outpatientfrom % of charges | $348.53 | $348.53 | $348.53 – $348.53 |
| 7 | Cigna nlfh cigna broad percent of total billed charges · outpatientfrom % of charges | $496.37 | $496.37 | $496.37 – $496.37 |
| 8 | Beechstreet nlfh phcs percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 9 | MultiPlan nlfh phcs percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 10 | First Health nlfh first health percent of total billed charges · outpatientfrom % of charges | $628.12 | $628.12 | $628.12 – $628.12 |
| 11 | Blue Cross Blue Shield nlfh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 12 | MultiPlan nlfh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 13 | UnitedHealthcare nlfh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
Last updated: Apr 1, 2026
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