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
Salem, IN
See all hospitals reporting CPT 10004 →Price type
St. Vincent Salem Hospital, Inc.’s median price of $42 is 91% below the median hospital's median price ($461), higher than 6% 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: 2 payers, 10 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 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $37.23 | $37.23 | $9.14 – $65.31 |
| 2 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $37.23 | $37.23 | $9.14 – $65.31 |
| 3 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 4 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 5 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 6 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 7 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 8 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 9 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
| 10 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $41.59 | $41.59 | $41.59 – $41.59 |
Last updated: Jan 1, 2026
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