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
Byron, GA
See all hospitals reporting CPT 10004 →Price type
The Medical Center of Peach County Inc’s median price of $488 is 6% above the median hospital's median price ($461), higher than 52% 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: 10 payers, 34 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 | Aetna medicare advantage fee schedule · both | $47.36 | $47.36 | $47.36 – $47.36 |
| 2 | Anthem medicare advantage fee schedule · both | $47.36 | $47.36 | $47.36 – $47.36 |
| 3 | Humana medicare advantage fee schedule · both | $47.36 | $47.36 | $47.36 – $47.36 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $47.36 | $47.36 | $47.36 – $47.36 |
| 5 | Caresource medicare advantage fee schedule · both | $48.30 | $48.30 | $48.30 – $48.30 |
| 6 | Clover medicare advantage fee schedule · both | $48.30 | $48.30 | $48.30 – $48.30 |
| 7 | Ambetter managed medicaid fee schedule · both | $53.53 | $53.53 | $53.53 – $53.53 |
| 8 | Anthem hmo/pos fee schedule · both | $87.06 | $87.06 | $87.06 – $87.06 |
| 9 | Anthem ppo fee schedule · both | $87.06 | $87.06 | $87.06 – $87.06 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $173.67 | $173.67 | $173.67 – $173.67 |
| 11 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $173.67 | $173.67 | $173.67 – $173.67 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $173.67 | $173.67 | $173.67 – $173.67 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $173.67 | $173.67 | $173.67 – $173.67 |
| 14 | Caresource medicare advantage percent of total billed charges · outpatientfrom % of charges | $177.14 | $177.14 | $177.14 – $177.14 |
| 15 | Clover medicare advantage percent of total billed charges · outpatientfrom % of charges | $177.14 | $177.14 | $177.14 – $177.14 |
| 16 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $248.10 | $248.10 | $248.10 – $248.10 |
| 17 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $421.77 | $421.77 | $421.77 – $421.77 |
| 18 | Aetna hmo/pos percent of total billed charges · outpatientfrom % of charges | $487.93 | $487.93 | $487.93 – $487.93 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $487.93 | $487.93 | $487.93 – $487.93 |
| 20 | Anthem hmo/pos case rate · outpatient | $510.00 | $510.00 | $510.00 – $510.00 |
| 21 | Anthem ppo case rate · outpatient | $510.00 | $510.00 | $510.00 – $510.00 |
| 22 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $521.01 | $521.01 | $521.01 – $521.01 |
| 23 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $537.55 | $537.55 | $537.55 – $537.55 |
| 24 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $537.55 | $537.55 | $537.55 – $537.55 |
| 25 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $602.06 | $602.06 | $602.06 – $602.06 |
Last updated: Nov 19, 2025
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