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
HC FNA BX W/O IMG GDN EA ADDL
Philadelphia, PA
See all hospitals reporting CPT 10004 →Price type
Temple University Hospital - Northeastern Campus’s median price of $456 is 1% below the median hospital's median price ($461), higher than 50% 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, 20 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 Nj medicare advantage facility · fee schedule · outpatient | $38.31 | $38.31 | $38.31 – $38.31 |
| 2 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $111.26 | $111.26 | $111.26 – $111.26 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $111.26 | $111.26 | $111.26 – $111.26 |
| 4 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $175.10 | $175.10 | $175.10 – $175.10 |
| 5 | Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges | $175.10 | $175.10 | $175.10 – $175.10 |
| 6 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $201.19 | $201.19 | $201.19 – $201.19 |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $248.06 | $248.06 | $248.06 – $248.06 |
| 8 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $273.60 | $273.60 | $273.60 – $273.60 |
| 9 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $273.60 | $273.60 | $273.60 – $273.60 |
| 10 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $273.60 | $273.60 | $273.60 – $273.60 |
| 11 | Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges | $310.08 | $310.08 | $310.08 – $310.08 |
| 12 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $456.00 | $456.00 | $456.00 – $456.00 |
| 13 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $469.13 | $469.13 | $469.13 – $469.13 |
| 14 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $620.16 | $620.16 | $620.16 – $620.16 |
| 15 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $620.16 | $620.16 | $620.16 – $620.16 |
| 16 | Bcbs Pa indemnity facility · fee schedule · outpatient | $637.06 | $637.06 | $637.06 – $637.06 |
| 17 | Bcbs Pa hmo/ppo/temple member facility · fee schedule · outpatient | $687.48 | $687.48 | $687.48 – $687.48 |
| 18 | Aetna commercial facility · case rate · outpatient | $1,978 | $1,978 | $1,978 – $1,978 |
| 19 | Aetna first health facility · case rate · outpatient | $1,978 | $1,978 | $1,978 – $1,978 |
| 20 | Aetna workers' comp facility · case rate · outpatient | $1,978 | $1,978 | $1,978 – $1,978 |
Last updated: Apr 13, 2026
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