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
facility
Dallas, TX
See all hospitals reporting CPT 10004 →Price type
Parkland Health’s median price of $316 is 31% below the median hospital's median price ($461), higher than 41% 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, 42 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 Better Health above fpil aetna chip perinate [131703] facility · percent of total billed charges · bothfrom % of charges | $82.42 | $82.42 | $82.42 – $82.42 |
| 2 | Aetna Better Health aetna better health chip [131701] facility · percent of total billed charges · bothfrom % of charges | $82.42 | $82.42 | $82.42 – $82.42 |
| 3 | Aetna Better Health below fpil aetna chip perinate [131702] facility · percent of total billed charges · bothfrom % of charges | $82.42 | $82.42 | $82.42 – $82.42 |
| 4 | Superior Healthplan superior star health foster care [140200] facility · percent of total billed charges · bothfrom % of charges | $82.42 | $82.42 | $82.42 – $82.42 |
| 5 | Molina molina chip [138201] facility · percent of total billed charges · bothfrom % of charges | $86.31 | $86.31 | $86.31 – $86.31 |
| 6 | Molina molina rsa medicaid [138203] facility · percent of total billed charges · bothfrom % of charges | $86.31 | $86.31 | $86.31 – $86.31 |
| 7 | Superior Healthplan superior star health foster care [140200] facility · fee schedule · outpatient | $87.77 | $87.77 | $87.77 – $87.77 |
| 8 | Blue Cross Blue Shield blue advantage hmo aca [101204] facility · fee schedule · outpatient | $97.46 | $97.46 | $97.46 – $97.46 |
| 9 | Cigna cigna parkland health employees [109400] facility · percent of total billed charges · bothfrom % of charges | $243.93 | $243.93 | $243.93 – $243.93 |
| 10 | Aetna Better Health above fpil aetna chip perinate [131703] facility · percent of total billed charges · outpatientfrom % of charges | $301.92 | $301.92 | $301.92 – $301.92 |
| 11 | Aetna Better Health aetna better health chip [131701] facility · percent of total billed charges · outpatientfrom % of charges | $301.92 | $301.92 | $301.92 – $301.92 |
| 12 | Aetna Better Health below fpil aetna chip perinate [131702] facility · percent of total billed charges · outpatientfrom % of charges | $301.92 | $301.92 | $301.92 – $301.92 |
| 13 | Aetna aetna [100400] facility · percent of total billed charges · bothfrom % of charges | $311.40 | $311.40 | $311.40 – $311.40 |
| 14 | Cigna cigna [102100] facility · percent of total billed charges · bothfrom % of charges | $311.40 | $311.40 | $311.40 – $311.40 |
| 15 | Molina molina chip [138201] facility · percent of total billed charges · outpatientfrom % of charges | $316.18 | $316.18 | $316.18 – $316.18 |
| 16 | Molina molina rsa medicaid [138203] facility · percent of total billed charges · outpatientfrom % of charges | $316.18 | $316.18 | $316.18 – $316.18 |
| 17 | Molina above fpil molina chip perinate [138210] facility · percent of total billed charges · outpatientfrom % of charges | $316.21 | $316.21 | $316.21 – $316.21 |
| 18 | Molina below fpil molina chip perinate [138211] facility · percent of total billed charges · outpatientfrom % of charges | $316.21 | $316.21 | $316.21 – $316.21 |
| 19 | Molina post partum vst-molina chip [138205] facility · percent of total billed charges · outpatientfrom % of charges | $316.21 | $316.21 | $316.21 – $316.21 |
| 20 | Molina molina star plus [138200] facility · percent of total billed charges · bothfrom % of charges | $321.11 | $321.11 | $321.11 – $321.11 |
| 21 | UnitedHealthcare uhc - umr [107903] facility · percent of total billed charges · bothfrom % of charges | $346.17 | $346.17 | $346.17 – $346.17 |
| 22 | UnitedHealthcare united healthcare of tx [107900] facility · percent of total billed charges · bothfrom % of charges | $346.17 | $346.17 | $346.17 – $346.17 |
| 23 | UnitedHealthcare united healthcare medicare advantage [131500] facility · percent of total billed charges · outpatientfrom % of charges | $399.26 | $399.26 | $399.26 – $399.26 |
| 24 | WellCare wellcare medicare advantage - uxr [133000] facility · percent of total billed charges · outpatientfrom % of charges | $399.26 | $399.26 | $399.26 – $399.26 |
| 25 | Aetna Better Health aetna better health star [131700] facility · percent of total billed charges · bothfrom % of charges | $400.45 | $400.45 | $400.45 – $400.45 |
Last updated: May 29, 2026
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