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
Wheaton, IL
See all hospitals reporting CPT 10004 →Price type
Northwestern Medicine Marianjoy Rehabilitation 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: 7 payers, 20 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 mrh imagine health percent of total billed charges · outpatientfrom % of charges | $321.72 | $321.72 | $321.72 – $321.72 |
| 2 | Aetna mrh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $360.02 | $360.02 | $360.02 – $360.02 |
| 3 | Cigna mrh cigna broad percent of total billed charges · outpatientfrom % of charges | $383.00 | $383.00 | $383.00 – $383.00 |
| 4 | Blue Cross Blue Shield mrh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $428.19 | $428.19 | $428.19 – $428.19 |
| 5 | Blue Cross Blue Shield mrh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $447.65 | $447.65 | $447.65 – $447.65 |
| 6 | Blue Cross Blue Shield mrh dreyer - ipa percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 7 | Blue Cross Blue Shield mrh university of il med center - ipa percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 8 | Cigna mrh cigna narrow percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 9 | Humana mrh dreyer - ipa percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 10 | Humana mrh university of il med center - ipa percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 11 | UnitedHealthcare mrh uhc core percent of total billed charges · outpatientfrom % of charges | $461.13 | $461.13 | $461.13 – $461.13 |
| 12 | Blue Cross Blue Shield mrh loyola university med center - ipa percent of total billed charges · outpatientfrom % of charges | $497.90 | $497.90 | $497.90 – $497.90 |
| 13 | First Health mrh first health percent of total billed charges · outpatientfrom % of charges | $512.45 | $512.45 | $512.45 – $512.45 |
| 14 | UnitedHealthcare mrh uhc all other percent of total billed charges · outpatientfrom % of charges | $513.99 | $513.99 | $513.99 – $513.99 |
| 15 | MultiPlan mrh phcs percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 16 | Aetna mrh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 17 | First Health mrh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 18 | Humana mrh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 19 | MultiPlan mrh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 20 | UnitedHealthcare mrh non-contracted payors 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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