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
Fna bx w/o img gdn ea addl
London, NH
See all hospitals reporting CPT 10004 →Price type
The New London Hospital Association, Inc.’s median price of $55 is 88% below the median hospital's median price ($461), higher than 17% 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, 15 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 amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $32.38 | $32.38 | $32.38 – $32.38 |
| 2 | Anthem anthem - medicare advantage professional · fee schedule · outpatient | $47.05 | $47.05 | $42.03 – $52.06 |
| 3 | UnitedHealthcare uhc - medicare advantage professional · fee schedule · outpatient | $47.05 | $47.05 | $42.03 – $52.06 |
| 4 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $48.46 | $48.46 | $43.29 – $53.62 |
| 5 | WellCare wellcare - medicare advantage professional · fee schedule · outpatient | $48.46 | $48.46 | $43.29 – $53.62 |
| 6 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $54.10 | $54.10 | $48.33 – $59.86 |
| 7 | Ambetter ambetter commercial - exchange professional · fee schedule · outpatient | $61.15 | $61.15 | $54.63 – $67.67 |
| 8 | Anthem anthem - indemnity and federal employee program professional · fee schedule · outpatient | $63.44 | $63.44 | $57.22 – $69.65 |
| 9 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $63.44 | $63.44 | $57.22 – $69.65 |
| 10 | Cigna cigna hmo-pos-ppo professional · fee schedule · outpatient | $64.43 | $64.43 | $57.92 – $70.93 |
| 11 | UnitedHealthcare uhc - hmo/pos/ppo professional · fee schedule · outpatient | $64.85 | $64.85 | $59.23 – $70.47 |
| 12 | Anthem anthem shop on exch professional · fee schedule · outpatient | $65.86 | $65.86 | $58.84 – $72.88 |
| 13 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $70.45 | $70.45 | $64.12 – $76.77 |
| 14 | UnitedHealthcare uhc - freedom plan professional · fee schedule · outpatient | $97.28 | $97.28 | $88.84 – $105.71 |
| 15 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · case rate · outpatient | $1,302 | $1,302 | $1,302 – $1,302 |
Last updated: Jan 1, 2026
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