Price Checker / CPT 10005
How much does Fna Bx W/us Gdn 1st Les cost?
CPT 10005 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 28x the fair price — among the most extreme markups. Dispute this.
Fair price
$200–$400
What this should cost
With insurance
~$92,000
Typical out-of-pocket
Overcharged if over
$500
Push back above this
The average hospital charge of $8,330 is $8,030 over the fair price (about 28x the fair rate).
What hospitals charge for Fna Bx W/us Gdn 1st Les
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "Cohen Children's Medical Center" , NY | — | $4,595 | 13845% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $4,595 | 13845% |
| Zucker Hillside Hospital , NY | — | $4,595 | 13845% |
| Glen Cove Hospital , NY | — | $4,595 | 11388% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 11388% |
| Plainview Hospital PLAINVIEW, NY | — | $4,595 | 11388% |
| South Shore University Hospital , NY | — | $4,595 | 11388% |
| McLaren Flint FLINT, MI | $12,372 | $6,186 | 9254% |
| Westfields Hospital New Richmond, WI | $8,440 | — | 6281% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX | — | — | 5197% |
| UPMC Chautauqua , NY | — | — | 4001% |
| Mosaic Medical Center in Maryville , MO | $4,800 | $4,080 | 3529% |
| Effingham Hospital , GA | $3,497 | $2,273 | 2544% |
| Highland District Hospital HILLSBORO, OH | $2,622 | $2,098 | 1882% |
| UMass Memorial Health-Harrington at Webster , MA | $2,601 | $2,601 | 1866% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Fna Bx W/us Gdn 1st Les
CPT code 10005 refers to fna bx w/us gdn 1st les (billing description: "Fna bx w/us gdn 1st les"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $62 in a facility (hospital or surgery center) and $132 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.