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
Troy, PA
See all hospitals reporting CPT 10004 →Price type
Troy Community Hospital Incorporated’s median price of $71 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.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $25.72 | $25.72 | $25.72 – $25.72 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $26.62 | $26.62 | $26.62 – $26.62 |
| 3 | Blue Cross Blue Shield blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $28.29 | $28.29 | $28.29 – $28.29 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $28.29 | $28.29 | $28.29 – $28.29 |
| 5 | Blue Cross Blue Shield highmark wholecare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.01 | $30.01 | $30.01 – $30.01 |
| 6 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.01 | $30.01 | $30.01 – $30.01 |
| 7 | WellCare fidelis medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $48.59 | $48.59 | $48.59 – $48.59 |
| 8 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · bothfrom % of charges | $71.45 | $71.45 | $71.45 – $71.45 |
| 9 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $71.45 | $71.45 | $71.45 – $71.45 |
| 10 | Blue Cross Blue Shield first priority facility · percent of total billed charges · bothfrom % of charges | $89.98 | $89.98 | $89.98 – $89.98 |
| 11 | Blue Cross Blue Shield first priority facility · percent of total billed charges · outpatientfrom % of charges | $89.98 | $89.98 | $89.98 – $89.98 |
| 12 | UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges | $103.75 | $103.75 | $103.75 – $103.75 |
| 13 | UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges | $103.75 | $103.75 | $103.75 – $103.75 |
| 14 | Aetna better health facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 15 | Aetna medicare advantage facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 16 | Blue Cross Blue Shield highmark facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 17 | Blue Cross Blue Shield highmark indemnity facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 18 | Blue Cross Blue Shield highmark ppo facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 19 | Tricare medicare advantage facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 20 | UnitedHealthcare managed medicaid facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
| 21 | WellCare managed medicaid facility · other · outpatient | $142.90 | $142.90 | $142.90 – $142.90 |
Last updated: Mar 31, 2026
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