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
Winfield, IL
See all hospitals reporting CPT 10004 →Price type
Northwestern Medicine Central DuPage Hospital’s median price of $460 is about the same as the median hospital's median price ($461), higher than 50% 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: 8 payers, 25 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 cdh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $109.54 | $109.54 | $109.54 – $109.54 |
| 2 | Cigna cdh cigna alternative percent of total billed charges · outpatientfrom % of charges | $163.92 | $163.92 | $163.92 – $163.92 |
| 3 | Aetna cdh aetna bp percent of total billed charges · outpatientfrom % of charges | $229.80 | $229.80 | $229.80 – $229.80 |
| 4 | Aetna cdh aetna apcn/sp percent of total billed charges · outpatientfrom % of charges | $240.52 | $240.52 | $240.52 – $240.52 |
| 5 | Aetna cdh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $268.10 | $268.10 | $268.10 – $268.10 |
| 6 | Blue Cross Blue Shield cdh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $314.67 | $314.67 | $314.67 – $314.67 |
| 7 | Cigna cdh cigna broad percent of total billed charges · outpatientfrom % of charges | $316.36 | $316.36 | $316.36 – $316.36 |
| 8 | UnitedHealthcare cdh uhc core percent of total billed charges · outpatientfrom % of charges | $384.53 | $384.53 | $384.53 – $384.53 |
| 9 | Aetna cdh aetna percent of total billed charges · outpatientfrom % of charges | $404.45 | $404.45 | $404.45 – $404.45 |
| 10 | MultiPlan cdh sagamore health ppo percent of total billed charges · outpatientfrom % of charges | $439.68 | $439.68 | $439.68 – $439.68 |
| 11 | Aetna cdh aetna asa percent of total billed charges · outpatientfrom % of charges | $441.22 | $441.22 | $441.22 – $441.22 |
| 12 | Blue Cross Blue Shield cdh advocate ipa percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 13 | Humana cdh advocate ipa percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 14 | Magellan cdh magellan bhs percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 15 | UnitedHealthcare cdh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $512.45 | $512.45 | $512.45 – $512.45 |
| 16 | First Health cdh first health percent of total billed charges · outpatientfrom % of charges | $589.05 | $589.05 | $589.05 – $589.05 |
| 17 | Cigna cdh cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 18 | MultiPlan cdh phcs/multiplan percent of total billed charges · outpatientfrom % of charges | $666.42 | $666.42 | $666.42 – $666.42 |
| 19 | Blue Cross Blue Shield cdh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 20 | Blue Cross Blue Shield cdh healthlab blue cross choice percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 21 | Blue Cross Blue Shield cdh healthlab chs percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 22 | Blue Cross Blue Shield cdh healthlab ehp ipa percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 23 | Humana cdh lifesynch bhs percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 24 | MultiPlan cdh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 25 | UnitedHealthcare cdh 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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