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/OUT GDN EA ADDL
Albermarle, NC
See all hospitals reporting CPT 10004 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $446 is 3% below the median hospital's median price ($461), higher than 49% 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: 14 payers, 53 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 | Amerihealth Caritas managed medicaid fee schedule · both | $37.35 | $37.35 | $37.35 – $37.35 |
| 2 | UnitedHealthcare managed medicaid fee schedule · both | $37.35 | $37.35 | $37.35 – $37.35 |
| 3 | WellCare managed medicaid fee schedule · both | $37.35 | $37.35 | $37.35 – $37.35 |
| 4 | Cigna Healthspring medicare advantage fee schedule · both | $39.76 | $39.76 | $39.76 – $39.76 |
| 5 | Humana medicare advantage fee schedule · both | $40.56 | $40.56 | $40.56 – $40.56 |
| 6 | Aetna medicare advantage fee schedule · both | $41.15 | $41.15 | $41.15 – $41.15 |
| 7 | UnitedHealthcare medicare advantage case rate · both | $41.26 | $41.26 | $41.26 – $41.26 |
| 8 | Humana medicare advantage fee schedule · outpatient | $49.72 | $49.72 | $49.72 – $49.72 |
| 9 | Aetna medicare advantage fee schedule · outpatient | $50.45 | $50.45 | $50.45 – $50.45 |
| 10 | Cigna Healthspring medicare advantage fee schedule · outpatient | $51.18 | $51.18 | $51.18 – $51.18 |
| 11 | UnitedHealthcare medicare advantage fee schedule · outpatient | $51.33 | $51.33 | $51.33 – $51.33 |
| 12 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $100.85 | $100.85 | $100.85 – $100.85 |
| 13 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $101.85 | $101.85 | $101.85 – $101.85 |
| 14 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $146.24 | $146.24 | $146.24 – $146.24 |
| 15 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $220.69 | $220.69 | $220.69 – $220.69 |
| 16 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $252.34 | $252.34 | $252.34 – $252.34 |
| 17 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $254.75 | $254.75 | $254.75 – $254.75 |
| 18 | UnitedHealthcare iex commercial percent of total billed charges · outpatientfrom % of charges | $268.99 | $268.99 | $268.99 – $268.99 |
| 19 | Ambetter cobranded commercial percent of total billed charges · inpatientfrom % of charges | $280.90 | $280.90 | $280.90 – $280.90 |
| 20 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $284.95 | $284.95 | $192.96 – $376.93 |
| 21 | Ambetter individual commercial percent of total billed charges · inpatientfrom % of charges | $309.80 | $309.80 | $309.80 – $309.80 |
| 22 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $309.80 | $309.80 | $309.80 – $309.80 |
| 23 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $334.79 | $334.79 | $334.79 – $334.79 |
| 24 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $347.70 | $347.70 | $157.40 – $537.99 |
| 25 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $360.60 | $360.60 | $360.60 – $360.60 |
Last updated: Dec 1, 2025
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