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
Coaldale, PA
See all hospitals reporting CPT 10004 →Price type
St Luke's Hospital - Miners Campus’s median price of $238 is 48% below the median hospital's median price ($461), higher than 38% 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, 11 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 medicare facility · fee schedule · outpatient | $38.10 | $38.10 | $38.10 – $38.10 |
| 2 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $42.62 | $42.62 | $42.62 – $42.62 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $42.62 | $42.62 | $42.62 – $42.62 |
| 4 | Oscar commercial facility · percent of total billed charges · inpatientfrom % of charges | $225.76 | $225.76 | $225.76 – $225.76 |
| 5 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $225.76 | $225.76 | $225.76 – $225.76 |
| 6 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $238.12 | $238.12 | $238.12 – $238.12 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $251.43 | $251.43 | $251.43 – $251.43 |
| 8 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $299.28 | $299.28 | $299.28 – $299.28 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $303.63 | $303.63 | $303.63 – $303.63 |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $720.53 | $720.53 | $720.53 – $720.53 |
| 11 | Blue Cross Blue Shield amerihealth facility · fee schedule · outpatient | $977.21 | $977.21 | $977.21 – $977.21 |
Last updated: Feb 27, 2026
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