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
Quakertown, PA
See all hospitals reporting CPT 10004 →Price type
St Luke's Hospital - Upper Bucks Campus’s median price of $244 is 47% 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, 14 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 | $39.39 | $39.39 | $39.39 – $39.39 |
| 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $85.54 | $85.54 | $85.54 – $85.54 |
| 5 | Oscar commercial facility · percent of total billed charges · inpatientfrom % of charges | $231.21 | $231.21 | $231.21 – $231.21 |
| 6 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $231.21 | $231.21 | $231.21 – $231.21 |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $243.87 | $243.87 | $243.87 – $243.87 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $257.50 | $257.50 | $257.50 – $257.50 |
| 9 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $306.50 | $306.50 | $306.50 – $306.50 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $310.96 | $310.96 | $310.96 – $310.96 |
| 11 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $682.09 | $682.09 | $682.09 – $682.09 |
| 12 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $682.09 | $682.09 | $682.09 – $682.09 |
| 13 | Blue Cross Blue Shield indemnity facility · fee schedule · outpatient | $693.52 | $693.52 | $693.52 – $693.52 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $737.93 | $737.93 | $737.93 – $737.93 |
Last updated: Feb 26, 2026
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