Fine needle biopsy of additional lesions at The Carle Foundation Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fine Needle Aspiration Bx W/O Img Gdn Ea Addl

Urbana, IL

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How this price compares nationally

The Carle Foundation Hospital’s median price of $69 is 85% below the median hospital's median price ($461), higher than 21% of the 1,449 hospitals reporting CPT 10004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10004 at The Carle Foundation Hospital

Negotiated rates from the hospital’s own file: 9 payers, 26 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$36.30	$36.30	$36.30 – $36.30
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$36.30	$36.30	$36.30 – $36.30
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$37.39	$37.39	$37.39 – $37.39
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$37.39	$37.39	$37.39 – $37.39
5	Aetna medicare advantage hmo case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
7	Humana medicare advantage case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
8	Molina medicare-medicaid (mmai/dual) case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
9	UnitedHealthcare medicare advantage case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
10	UnitedHealthcare va ccn/optum case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
11	WellCare medicare advantage hmo case rate · outpatient	$53.58	$53.58	$53.58 – $53.58
12	Aetna medicare advantage ppo case rate · outpatient	$54.65	$54.65	$54.65 – $54.65
13	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$81.90	$79.80	$69.30 – $88.20
14	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$81.90	$79.80	$69.30 – $88.20
15	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$81.90	$79.80	$69.30 – $88.20
16	Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges	$131.04	$127.68	$110.88 – $141.12
17	Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges	$131.04	$127.68	$110.88 – $141.12
18	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$168.99	$164.66	$142.99 – $181.99
19	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$177.45	$172.90	$150.15 – $191.10
20	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$177.45	$172.90	$150.15 – $191.10
21	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$180.45	$175.82	$152.69 – $194.33
22	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$212.94	$207.48	$180.18 – $229.32
23	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$218.40	$212.80	$184.80 – $235.20
24	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$218.40	$212.80	$184.80 – $235.20
25	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$218.95	$213.33	$185.26 – $235.79

Page 1 of 2 · 26 rates

Last updated: Apr 15, 2026

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