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
FNA BX W/O IMG GDN EA ADDL
Sioux Falls, SD
See all hospitals reporting CPT 10004 →Price type
Sanford USD Medical Center’s median price of $47 is 90% below the median hospital's median price ($461), higher than 11% 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: 5 payers, 12 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 fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 3 | Bcbs Mn state employees fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 4 | Sanford Health Plan commercial/nd pers fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 5 | Sanford Health Plan group health/true fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 6 | Sanford Health Plan sd exchange commercial fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 7 | Sanford Health Plan sd exchange true fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 8 | Sanford Health Plan medicare replacement case rate · outpatient | $46.70 | $46.70 | $46.70 – $46.70 |
| 9 | Ucare medicare replacement case rate · outpatient | $50.14 | $50.14 | $50.14 – $50.14 |
| 10 | Aetna medicare replacement case rate · outpatient | $50.63 | $50.63 | $50.63 – $50.63 |
| 11 | Bcbs Mn medicare replacement case rate · outpatient | $50.63 | $50.63 | $50.63 – $50.63 |
| 12 | UnitedHealthcare medicare replacement case rate · outpatient | $50.63 | $50.63 | $50.63 – $50.63 |
Last updated: Mar 4, 2026
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