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
Palos Heights, IL
See all hospitals reporting CPT 10004 →Price type
Palos Community Hospital’s median price of $575 is 25% above the median hospital's median price ($461), higher than 56% 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, 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 | Cigna ph cigna alternative percent of total billed charges · outpatientfrom % of charges | $143.24 | $143.24 | $143.24 – $143.24 |
| 2 | Aetna ph aetna nm employees percent of total billed charges · outpatientfrom % of charges | $164.69 | $164.69 | $164.69 – $164.69 |
| 3 | Cigna ph cigna broad percent of total billed charges · outpatientfrom % of charges | $226.74 | $226.74 | $226.74 – $226.74 |
| 4 | Aetna ph aetna il preferred percent of total billed charges · outpatientfrom % of charges | $259.67 | $259.67 | $259.67 – $259.67 |
| 5 | Blue Cross Blue Shield ph bcbs hmo percent of total billed charges · outpatientfrom % of charges | $299.74 | $299.74 | $299.74 – $299.74 |
| 6 | Aetna ph aetna percent of total billed charges · outpatientfrom % of charges | $435.09 | $435.09 | $435.09 – $435.09 |
| 7 | First Health ph aetna percent of total billed charges · outpatientfrom % of charges | $435.09 | $435.09 | $435.09 – $435.09 |
| 8 | Magellan ph magellan bhs percent of total billed charges · outpatientfrom % of charges | $459.60 | $459.60 | $459.60 – $459.60 |
| 9 | MultiPlan ph multiplan/phcs percent of total billed charges · outpatientfrom % of charges | $536.20 | $536.20 | $536.20 – $536.20 |
| 10 | First Health ph first health percent of total billed charges · outpatientfrom % of charges | $574.50 | $574.50 | $574.50 – $574.50 |
| 11 | Beechstreet ph beechstreet percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 12 | Cigna ph cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $612.80 | $612.80 | $612.80 – $612.80 |
| 13 | Aetna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 14 | Blue Cross Blue Shield ph bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 15 | Cigna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 16 | MultiPlan ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 17 | UnitedHealthcare ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $766.00 | $766.00 | $766.00 – $766.00 |
| 18 | UnitedHealthcare ph 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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