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
Chicago, IL
See all hospitals reporting CPT 10004 →Price type
Northwestern Memorial Hospital’s median price of $444 is 4% below the median hospital's median price ($461), higher than 48% 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, 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 | Cigna nmh cigna alternative percent of total billed charges · outpatientfrom % of charges | $143.24 | $143.24 | $143.24 – $143.24 |
| 2 | Aetna nmh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $148.60 | $148.60 | $148.60 – $148.60 |
| 3 | Aetna nmhc imagine health percent of total billed charges · outpatientfrom % of charges | $206.82 | $206.82 | $206.82 – $206.82 |
| 4 | Aetna nmh aetna bp percent of total billed charges · outpatientfrom % of charges | $229.80 | $229.80 | $229.80 – $229.80 |
| 5 | Aetna nmh aetna percent of total billed charges · outpatientfrom % of charges | $245.12 | $245.12 | $245.12 – $245.12 |
| 6 | Aetna nmh aetna asa percent of total billed charges · outpatientfrom % of charges | $270.40 | $270.40 | $270.40 – $270.40 |
| 7 | Humana nmh advocate ipa percent of total billed charges · outpatientfrom % of charges | $306.40 | $306.40 | $306.40 – $306.40 |
| 8 | Humana nmh chs ipa percent of total billed charges · outpatientfrom % of charges | $306.40 | $306.40 | $306.40 – $306.40 |
| 9 | Blue Cross Blue Shield nmhc chwn ipa percent of total billed charges · outpatientfrom % of charges | $344.70 | $344.70 | $344.70 – $344.70 |
| 10 | Blue Cross Blue Shield nmhc scpp ipa percent of total billed charges · outpatientfrom % of charges | $344.70 | $344.70 | $344.70 – $344.70 |
| 11 | Humana nmhc scpp ipa percent of total billed charges · outpatientfrom % of charges | $344.70 | $344.70 | $344.70 – $344.70 |
| 12 | Cigna nmh cigna broad percent of total billed charges · outpatientfrom % of charges | $355.42 | $355.42 | $355.42 – $355.42 |
| 13 | Blue Cross Blue Shield nmhc uic ipa percent of total billed charges · outpatientfrom % of charges | $383.00 | $383.00 | $383.00 – $383.00 |
| 14 | Humana nmhc uic ipa percent of total billed charges · outpatientfrom % of charges | $383.00 | $383.00 | $383.00 – $383.00 |
| 15 | Cigna nmh cigna behavioral health (evernorth) percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 16 | MultiPlan nmh phcs ppo percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 17 | Aetna nmhc non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 18 | Blue Cross Blue Shield nmhc non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 19 | Cigna nmhc non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 20 | First Health nmhc non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 21 | MultiPlan nmh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 22 | MultiPlan nmhc non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 23 | UnitedHealthcare nmh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 24 | UnitedHealthcare nmhc non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 25 | UnitedHealthcare nmhc uhc ref lab john deere 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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