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
Phillipsburg, NJ
See all hospitals reporting CPT 10004 →Price type
St Luke's Warren Hospital’s median price of $845 is 83% above the median hospital's median price ($461), higher than 61% 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: 6 payers, 17 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $295.97 | $295.97 | $295.97 – $295.97 |
| 4 | Oscar commercial facility · percent of total billed charges · inpatientfrom % of charges | $801.58 | $801.58 | $801.58 – $801.58 |
| 5 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $801.58 | $801.58 | $801.58 – $801.58 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $826.24 | $826.24 | $826.24 – $826.24 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $832.41 | $832.41 | $832.41 – $832.41 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $837.65 | $837.65 | $837.65 – $837.65 |
| 9 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $879.48 | $879.48 | $879.48 – $879.48 |
| 10 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $879.48 | $879.48 | $879.48 – $879.48 |
| 11 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,061 | $1,061 | $1,061 – $1,061 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,076 | $1,076 | $1,076 – $1,076 |
| 13 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 14 | Blue Cross Blue Shield managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 15 | Blue Cross Blue Shield omnia facility · percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 16 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,170 | $1,170 | $1,170 – $1,170 |
Last updated: Feb 27, 2026
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