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
DeKalb, IL
See all hospitals reporting CPT 10004 →Price type
Northwestern Medicine Kishwaukee Hospital’s median price of $545 is 18% above the median hospital's median price ($461), higher than 55% 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, 18 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 kh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $140.18 | $140.18 | $140.18 – $140.18 |
| 2 | Aetna kh aetna niu percent of total billed charges · outpatientfrom % of charges | $260.44 | $260.44 | $260.44 – $260.44 |
| 3 | Aetna kh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $274.99 | $274.99 | $274.99 – $274.99 |
| 4 | UnitedHealthcare kh uhc core percent of total billed charges · outpatientfrom % of charges | $384.53 | $384.53 | $384.53 – $384.53 |
| 5 | Cigna kh cigna broad percent of total billed charges · outpatientfrom % of charges | $403.68 | $403.68 | $403.68 – $403.68 |
| 6 | Cigna kh cigna alternative percent of total billed charges · outpatientfrom % of charges | $406.75 | $406.75 | $406.75 – $406.75 |
| 7 | Blue Cross Blue Shield kh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $428.19 | $428.19 | $428.19 – $428.19 |
| 8 | Blue Cross Blue Shield kh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $508.55 | $508.55 | $508.55 – $508.55 |
| 9 | UnitedHealthcare kh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $512.45 | $512.45 | $512.45 – $512.45 |
| 10 | Aetna kh aetna percent of total billed charges · outpatientfrom % of charges | $516.28 | $516.28 | $516.28 – $516.28 |
| 11 | Aetna kh aetna asa percent of total billed charges · outpatientfrom % of charges | $575.27 | $575.27 | $575.27 – $575.27 |
| 12 | MultiPlan kh multiplan percent of total billed charges · outpatientfrom % of charges | $597.48 | $597.48 | $597.48 – $597.48 |
| 13 | Aetna kh personal care percent of total billed charges · outpatientfrom % of charges | $658.76 | $658.76 | $658.76 – $658.76 |
| 14 | First Health kh personal care percent of total billed charges · outpatientfrom % of charges | $658.76 | $658.76 | $658.76 – $658.76 |
| 15 | Blue Cross Blue Shield kh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 16 | MultiPlan kh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 17 | Optum kh optum ubh bhs prof percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 18 | UnitedHealthcare kh 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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