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/O Img Gdn Ea Addl
Manassas, VA
See all hospitals reporting CPT 10004 →Price type
University of Virginia Prince William Medical Center’s median price of $870 is 89% above the median hospital's median price ($461), higher than 61% 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, 13 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 uvapw & uvahm - aetna percent of total billed charges · bothfrom % of charges | $665.02 | $665.02 | $665.02 – $665.02 |
| 2 | Carefirst uvapw & uvahm - carefirst hmo percent of total billed charges · bothfrom % of charges | $743.59 | $743.59 | $743.59 – $743.59 |
| 3 | Carefirst uvapw & uvahm - carefirst rpn percent of total billed charges · bothfrom % of charges | $743.59 | $743.59 | $743.59 – $743.59 |
| 4 | UnitedHealthcare united exchange plan [4003231] percent of total billed charges · bothfrom % of charges | $782.87 | $782.87 | $782.87 – $782.87 |
| 5 | Cigna cigna 182223 ppo [4000520] percent of total billed charges · bothfrom % of charges | $860.04 | $860.04 | $860.04 – $860.04 |
| 6 | Cigna cigna nalc supplemental [4000510] percent of total billed charges · bothfrom % of charges | $860.04 | $860.04 | $860.04 – $860.04 |
| 7 | UnitedHealthcare uvapw & uvahm - united (all payer) percent of total billed charges · bothfrom % of charges | $869.86 | $869.86 | $869.86 – $869.86 |
| 8 | UnitedHealthcare uvapw & uvahm - united (options ppo) percent of total billed charges · bothfrom % of charges | $869.86 | $869.86 | $869.86 – $869.86 |
| 9 | Cigna cigna 188061 connect [4000513] percent of total billed charges · bothfrom % of charges | $937.20 | $937.20 | $937.20 – $937.20 |
| 10 | Cigna uvapw & uvahm - cigna (ifp) percent of total billed charges · bothfrom % of charges | $937.20 | $937.20 | $937.20 – $937.20 |
| 11 | MultiPlan multiplan generic [4003501] percent of total billed charges · bothfrom % of charges | $1,066 | $1,066 | $1,066 – $1,066 |
| 12 | Cigna uvapw - evernorth (cigna bh) percent of total billed charges · bothfrom % of charges | $1,122 | $1,122 | $1,122 – $1,122 |
| 13 | Kaiser uvapw & uvahm - misc. (kaiser) percent of total billed charges · bothfrom % of charges | $1,263 | $1,263 | $1,263 – $1,263 |
Last updated: Mar 24, 2026
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