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
SURG 10004 FINE NDL ASPIR BX WO GDN EA ADDL
Bemidji, MN
See all hospitals reporting CPT 10004 →Price type
Sanford Bemidji Medical Center’s median price of $299 is 35% 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, 27 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 | Bcbs Mn commercial/federal fee schedule · outpatient | $1.02 | $1.02 | $1.02 – $1.02 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $1.02 | $1.02 | $1.02 – $1.02 |
| 3 | Sanford Health Plan medicare replacement case rate · outpatient | $46.89 | $46.89 | $46.89 – $46.89 |
| 4 | Ucare medicare replacement case rate · outpatient | $50.34 | $50.34 | $50.34 – $50.34 |
| 5 | Aetna medicare replacement case rate · outpatient | $50.83 | $50.83 | $50.83 – $50.83 |
| 6 | Bcbs Mn medicare replacement case rate · outpatient | $50.83 | $50.83 | $50.83 – $50.83 |
| 7 | UnitedHealthcare medicare replacement case rate · outpatient | $50.83 | $50.83 | $50.83 – $50.83 |
| 8 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $193.67 | $193.67 | $193.67 – $193.67 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $220.83 | $220.83 | $220.83 – $220.83 |
| 10 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $227.84 | $227.84 | $227.84 – $227.84 |
| 11 | Sanford Health Plan commercial percent of total billed charges · outpatientfrom % of charges | $259.80 | $259.80 | $259.80 – $259.80 |
| 12 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $298.73 | $298.73 | $298.73 – $298.73 |
| 13 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $298.73 | $298.73 | $298.73 – $298.73 |
| 14 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $323.43 | $323.43 | $323.43 – $323.43 |
| 15 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $323.43 | $323.43 | $323.43 – $323.43 |
| 16 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $348.50 | $348.50 | $348.50 – $348.50 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $348.50 | $348.50 | $348.50 – $348.50 |
| 18 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $354.88 | $354.88 | $354.88 – $354.88 |
| 19 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $354.88 | $354.88 | $354.88 – $354.88 |
| 20 | Medica choice percent of total billed charges · inpatientfrom % of charges | $357.00 | $357.00 | $357.00 – $357.00 |
| 21 | Medica choice percent of total billed charges · outpatientfrom % of charges | $357.00 | $357.00 | $357.00 – $357.00 |
| 22 | Medica elect percent of total billed charges · inpatientfrom % of charges | $382.08 | $382.08 | $382.08 – $382.08 |
| 23 | Medica elect percent of total billed charges · outpatientfrom % of charges | $382.08 | $382.08 | $382.08 – $382.08 |
| 24 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $382.50 | $382.50 | $382.50 – $382.50 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $382.50 | $382.50 | $382.50 – $382.50 |
Last updated: Mar 4, 2026
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