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 ER FNA BX W/OUT GDN EA ADDL
Charlotte, NC
See all hospitals reporting CPT 10004 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $375 is 19% below the median hospital's median price ($461), higher than 44% 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, 50 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 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $85.36 | $85.36 | $85.36 – $85.36 |
| 13 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $86.94 | $86.94 | $86.94 – $86.94 |
| 14 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $125.84 | $125.84 | $125.84 – $125.84 |
| 15 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $220.69 | $220.69 | $220.69 – $220.69 |
| 16 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $245.18 | $245.18 | $245.18 – $245.18 |
| 17 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $245.93 | $245.93 | $167.23 – $324.63 |
| 18 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $252.34 | $252.34 | $252.34 – $252.34 |
| 19 | UnitedHealthcare iex commercial percent of total billed charges · outpatientfrom % of charges | $268.99 | $268.99 | $268.99 – $268.99 |
| 20 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $286.48 | $286.48 | $286.48 – $286.48 |
| 21 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $298.98 | $298.98 | $298.98 – $298.98 |
| 22 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $302.31 | $302.31 | $302.31 – $302.31 |
| 23 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $323.59 | $323.59 | $220.03 – $427.14 |
| 24 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $334.79 | $334.79 | $334.79 – $334.79 |
| 25 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $338.95 | $338.95 | $338.95 – $338.95 |
Last updated: Dec 5, 2025
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