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Procedure price report · Other diagnostic procedures on skin and subcutaneous tissue

Needle aspiration biopsy, no imaging, each added lesion

CPT 10004the billing code this page is about

Withdrawal of cells or fluid through a thin needle without imaging guidance; this code is billed once for each additional lesion sampled beyond the first.

Hospitals typically charge $227 cash for this outpatient procedure — the median across 975 hospitals that filed a usable cash price; the average of the middle 60% is $271. Most fall between $95 and $661 (20th–80th percentile).

Hospitals
975
States
50
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 975 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$55$112$227$536$902

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($55 vs $902).

How the prices are spread

$40 – $56: 60 hospitals$40$56 – $79: 57 hospitals$79 – $111: 85 hospitals$79$111 – $157: 117 hospitals$157 – $221: 114 hospitals$157$221 – $312: 113 hospitals$312 – $439: 91 hospitals$312$439 – $620: 78 hospitals$620 – $875: 111 hospitals$620$875 – $1,234: 61 hospitals$875median $227price bands are equal on a log scale
Hospitals per price band (887 of 975 — the bands cover the 5th to 95th percentile)
FromToHospitals
$40$5660
$56$7957
$79$11185
$111$157117
$157$221114
$221$312113
$312$43991
$439$62078
$620$875111
$875$1,23461

By state

The median cash price in each state, against the national median of $227.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $305 across 32 hospitalsWA$305Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $154 across 18 hospitalsMN$154Illinois: median $180 across 50 hospitalsIL$180Wisconsin: median $278 across 38 hospitalsWI$278Michigan: median $49 across 30 hospitalsMI$49New York: median $114 across 37 hospitalsNY$114Massachusetts: median $158 across 21 hospitalsMA$158Oregon: median $116 across 17 hospitalsOR$116Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $129 across 21 hospitalsIA$129Indiana: median $125 across 34 hospitalsIN$125Ohio: median $236 across 64 hospitalsOH$236Pennsylvania: median $115 across 42 hospitalsPA$115New Jersey: median $1,268 across 28 hospitalsNJ$1,268Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $656 across 85 hospitalsCA$656Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $369 across 32 hospitalsCO$369Nebraska: median $114 across 16 hospitalsNE$114Missouri: median $108 across 20 hospitalsMO$108Kentucky: median $155 across 16 hospitalsKY$155West Virginia: median $70 across 16 hospitalsWV$70Virginia: median $269 across 32 hospitalsVA$269Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $74 across 10 hospitalsTN$74North Carolina: median $350 across 32 hospitalsNC$350South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $72 across 15 hospitalsOK$72Louisiana: median $126 across 11 hospitalsLA$126Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $332 across 19 hospitalsGA$332Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $248 across 74 hospitalsTX$248Florida: median $473 across 32 hospitalsFL$473
Cash price by state, most expensive first. National median $227. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$1,268+458%$453 – $5,339
California CA85$656+189%$273 – $902
Florida FL32$473+108%$339 – $1,099
Colorado CO32$369+62%$143 – $1,109
North Carolina NC32$350+54%$146 – $416
Georgia GA19$332+46%$281 – $414
Washington WA32$305+34%$179 – $496
Wisconsin WI38$278+22%$159 – $300
Virginia VA32$269+18%$92 – $580
Texas TX74$248+9%$211 – $840
Ohio OH64$236+4%$138 – $661
Illinois IL50$180−21%$110 – $536
Massachusetts MA21$158−30%$119 – $550
Kentucky KY16$155−32%$106 – $813
Minnesota MN18$154−32%$118 – $365
Iowa IA21$129−43%$100 – $129
Louisiana LA11$126−44%$66 – $240
Indiana IN34$125−45%$45 – $225
Oregon OR17$116−49%$98 – $320
Pennsylvania PA42$115−49%$27 – $458
Nebraska NE16$114−50%$87 – $170
New York NY37$114−50%$51 – $659
Missouri MO20$108−53%$64 – $906
Tennessee TN10$74−67%$40 – $86
Oklahoma OK15$72−68%$72 – $707
West Virginia WV16$70−69%$46 – $272
Michigan MI30$49−78%$40 – $159
Kansas KS9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $227.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care795$240$95 – $703
Children’s20$236$97 – $459
Critical access155$155$92 – $378
Ownership
For-profit51$211$110 – $457
Government138$218$93 – $530
Non-profit781$228$95 – $702
System affiliation
Part of a system819$228$104 – $704
Independent156$167$67 – $483

Cash price vs list price

Median list price (chargemaster)$380
Median cash price$227
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

765 hospitals filed a usable inpatient cash price for this code. The median is $272 and the average of the middle 60% is $314; most fall between $111 and $704.

Cash price percentiles, inpatient, across 765 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$72$129$272$617$902

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($72 vs $902).

Of the 819 hospitals that filed this code inpatient, 765 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 37 a list price only.

How complete is this

975 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,082 hospitals that filed this code at all gave us
Usable cash price — counted975
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded67
Hospitals that filed this code1,082

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic procedures on skin and subcutaneous tissue family.

Hospitals file this code under descriptions such as Fine Needle Aspiration Bx W/O Img Gdn Ea Addl.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Needle aspiration biopsy, no imaging, each added lesion (CPT 10004) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-10004-needle-aspiration-biopsy-no-imaging-each-added-lesion