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
Erie, PA
See all hospitals reporting CPT 10004 →Price type
UPMC Hamot’s median price of $113 is 76% below the median hospital's median price ($461), higher than 27% 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, 27 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $32.06 | $32.06 | $32.06 – $32.06 |
| 2 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $40.85 | $40.85 | $40.85 – $40.85 |
| 3 | Aetna medicaid facility · fee schedule · outpatient | $42.62 | $42.62 | $42.62 – $42.62 |
| 4 | Highmark medicaid facility · fee schedule · outpatient | $52.68 | $52.68 | $52.68 – $52.68 |
| 5 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $55.45 | $55.45 | $55.45 – $55.45 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $73.50 | $73.50 | $73.50 – $73.50 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $79.38 | $79.38 | $79.38 – $79.38 |
| 8 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $88.20 | $88.20 | $88.20 – $88.20 |
| 9 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $88.20 | $88.20 | $88.20 – $88.20 |
| 10 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $88.20 | $88.20 | $88.20 – $88.20 |
| 11 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $88.20 | $88.20 | $88.20 – $88.20 |
| 12 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $96.89 | $96.89 | $96.89 – $96.89 |
| 13 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $117.60 | $117.60 | $117.60 – $117.60 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $117.60 | $117.60 | $117.60 – $117.60 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $117.60 | $117.60 | $117.60 – $117.60 |
| 16 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $117.60 | $117.60 | $117.60 – $117.60 |
| 17 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $117.60 | $117.60 | $117.60 – $117.60 |
| 18 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $147.00 | $147.00 | $147.00 – $147.00 |
| 19 | Highmark upmc emergent facility · fee schedule · outpatient | $155.02 | $155.02 | $155.02 – $155.02 |
| 20 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $205.80 | $205.80 | $205.80 – $205.80 |
| 21 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $205.80 | $205.80 | $205.80 – $205.80 |
| 22 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $205.80 | $205.80 | $205.80 – $205.80 |
| 23 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $205.80 | $205.80 | $205.80 – $205.80 |
| 24 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges | $235.20 | $235.20 | $235.20 – $235.20 |
| 25 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges | $235.20 | $235.20 | $235.20 – $235.20 |
Last updated: Mar 6, 2026
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