Additional prostate biopsy targeted by MRI-ultrasound fusion or CT/MRI guidance

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Bx Prst8 Ea Add MRI-US/CT/MR

Payers reporting CPT 55715

Payer pricing summary

Low

$55

Average

$2.1k

Median

$1.2k

High

$15.1k

Payer rate distribution

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#
1	UnitedHealthcare case rate · outpatient · +26 other terms	164	$2.1k	$2.2k	$1.5k	69%	—	$80 – $22.4k
2	Cigna case rate · outpatient · +21 other terms	60	$7.5k	$11.6k	$9.9k	86%	—	$1 – $40.7k
3	Molina case rate · outpatient · +16 other terms	57	$2.3k	$2.5k	$734	30%	—	$80 – $3.2k
4	Aetna case rate · outpatient · +26 other terms	49	$3.5k	$4.3k	$1.4k	33%	—	$80 – $8.2k
5	Superior Healthplan case rate · outpatient · +1 other terms	33	$948	$944	$8	1%	—	$929 – $948
6	Humana fee schedule · outpatient · +20 other terms	29	$82	$402	$814	203%	—	$1 – $2.4k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +21 other terms	28	$78	$1.0k	$3.8k	366%	—	$41 – $22k
8	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$2.3k	$2.1k	$455	22%	—	$624 – $2.5k
9	Anthem facility · fee schedule · outpatient · +17 other terms	25	$78	$1.3k	$3.9k	311%	—	$0 – $19.5k
10	Optum professional · fee schedule · outpatient · +10 other terms	22	$78	$69	$15	22%	—	$44 – $83
11	Medica professional · fee schedule · outpatient · +11 other terms	18	$82	$76	$14	18%	—	$45 – $91
12	Medicare fee schedule · outpatient · +11 other terms	18	$82	$82	—	—	—	$82 – $82
13	Caresource facility · case rate · outpatient · +10 other terms	17	$1.0k	$973	$436	45%	—	$155 – $1.8k
14	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms	17	$1.0k	$1.0k	$283	28%	—	$328 – $1.3k
15	WellCare facility · fee schedule · outpatient · +10 other terms	17	$78	$1.3k	$5.0k	389%	—	$45 – $22k
16	Ucare professional · fee schedule · outpatient · +4 other terms	16	$65	$64	$16	25%	—	$28 – $91
17	Oscar case rate · outpatient · +8 other terms	14	$3.4k	$4.0k	$1.1k	28%	—	$3.4k – $6.1k
18	Kaiser fee schedule · outpatient · +13 other terms	13	$82	$82	—	—	—	$82 – $82
19	Ambetter facility · fee schedule · outpatient · +11 other terms	11	$140	$127	$40	32%	—	$0 – $140
20	Devoted facility · fee schedule · outpatient · +7 other terms	11	$78	$78	—	—	—	$78 – $78
21	First Health per diem · outpatient · +10 other terms	11	$365	$365	—	—	—	$365 – $365
22	Medical Mutual facility · fee schedule · outpatient · +7 other terms	10	$78	$96	$20	21%	—	$78 – $123
23	Tricare facility · fee schedule · outpatient · +8 other terms	10	$39.2k	$30.3k	$23.4k	77%	—	$41 – $50k
24	Medicaid facility · fee schedule · outpatient · +7 other terms	8	$351	$351	$283	80%	—	$56 – $1.2k
25	Aetna Better Health facility · case rate · outpatient · +3 other terms	6	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

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