Ultrasound-guided needle biopsy of first lesion at Ascension Seton

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

FNA BX W/US GDN 1ST LES

Kyle, TX

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How this price compares nationally

Ascension Seton’s median price of $682 is 24% below the median hospital's median price ($902), higher than 21% of the 2,359 hospitals reporting CPT 10005. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10005 at Ascension Seton

Negotiated rates from the hospital’s own file: 9 payers, 34 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	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$54.05	$54.05	$54.05 – $54.05
2	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$72.07	$72.07	$72.07 – $72.07
3	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$72.07	$72.07	$72.07 – $72.07
4	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$77.32	$77.32	$77.32 – $77.32
5	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$87.83	$87.83	$87.83 – $87.83
6	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
7	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
8	Blue Cross Blue Shield 4171_blue cross chip (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
9	Blue Cross Blue Shield 4171_blue cross chip/star kids (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
10	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
11	Blue Cross Blue Shield 4222_chirp blue cross star (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
12	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
13	Blue Cross Blue Shield 5009_blue cross star kids (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
14	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
15	UnitedHealthcare 4256_chirp uhc star (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
16	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
17	UnitedHealthcare 4267_chirp uhc star plus (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
18	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
19	UnitedHealthcare 4314_uhc star kids (hay) outpatient 20241201 fee schedule · outpatient	$257.60	$257.60	$257.60 – $257.60
20	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$681.85	$681.85	$681.85 – $681.85
21	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$681.85	$681.85	$681.85 – $681.85
22	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$681.85	$681.85	$681.85 – $681.85
23	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$681.85	$681.85	$681.85 – $681.85
24	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$681.85	$681.85	$681.85 – $681.85
25	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$681.85	$681.85	$681.85 – $681.85

Page 1 of 2 · 34 rates

Last updated: Jan 1, 2026

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