Prostate needle biopsy pathology exam

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

PR PROSTATE BIOPSY GROSS MICRO

Payers reporting HCPCS G0416

Payer pricing summary

Low

$142

Average

$536

Median

$450

High

$1.7k

Payer rate distribution

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#
1	Medicare other · both · +17 other terms	35	$379	$410	$107	26%	392–419	$335 – $800
2	Medica professional · fee schedule · outpatient · +18 other terms	21	$257	$254	$94	37%	24–33	$159 – $415
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	393	$489	$749	$618	83%	16–34	$1 – $4.1k
4	UnitedHealthcare fee schedule · outpatient · +33 other terms	674	$311	$418	$420	101%	6–60	$1 – $10.6k
5	Humana fee schedule · outpatient · +29 other terms	309	$378	$543	$499	92%	4–40	$1 – $2.3k
6	Bcbs In other · both	11	$1.3k	$1.4k	$212	16%	2–20	$870 – $1.7k
7	Cigna fee schedule · outpatient · +25 other terms	439	$420	$465	$340	73%	1–10	$1 – $5.9k
8	Ucare professional · fee schedule · outpatient · +16 other terms	19	$202	$203	$73	36%	1–10	$134 – $415
9	Aetna fee schedule · outpatient · +34 other terms	516	$405	$554	$485	87%	—	$1 – $5.0k
10	Anthem fee schedule · outpatient · +23 other terms	159	$557	$559	$517	92%	—	$5 – $2.6k
11	Molina fee schedule · outpatient · +30 other terms	148	$377	$396	$216	54%	—	$1 – $1.5k
12	WellCare fee schedule · outpatient · +21 other terms	122	$376	$378	$152	40%	—	$53 – $843
13	Kaiser fee schedule · outpatient · +23 other terms	96	$428	$533	$383	72%	—	$53 – $2.5k
14	Devoted facility · fee schedule · outpatient · +13 other terms	90	$360	$363	$44	12%	—	$70 – $466
15	Ambetter facility · fee schedule · outpatient · +18 other terms	78	$638	$649	$128	20%	—	$339 – $895
16	MultiPlan fee schedule · outpatient · +20 other terms	66	$578	$714	$353	49%	—	$200 – $2.0k
17	Caresource fee schedule · outpatient · +15 other terms	55	$451	$692	$208	30%	—	$1 – $840
18	Oscar facility · fee schedule · outpatient · +18 other terms	55	$553	$507	$119	23%	—	$257 – $674
19	First Health fee schedule · outpatient · +18 other terms	50	$374	$528	$341	65%	—	$153 – $1.6k
20	Highmark facility · fee schedule · outpatient · +19 other terms	49	$629	$911	$849	93%	—	$128 – $3.9k
21	Optum fee schedule · outpatient · +17 other terms	48	$331	$452	$268	59%	—	$193 – $1.3k
22	Tricare facility · fee schedule · outpatient · +18 other terms	48	$347	$339	$50	15%	—	$162 – $461
23	Clover fee schedule · outpatient · +8 other terms	31	$393	$381	$22	6%	—	$324 – $424
24	Regence professional · fee schedule · outpatient · +18 other terms	31	$173	$398	$317	80%	—	$132 – $1.1k
25	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$455	$454	$91	20%	—	$342 – $595

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