Muscle biopsy using a needle 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

BIOPSY MUSCLE PERQ NEEDLE

Kyle, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $486 is 72% below the median hospital's median price ($1.8k), higher than 9% of the 2,262 hospitals reporting CPT 20206. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20206 at Ascension Seton

Negotiated rates from the hospital’s own file: 5 payers, 22 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 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
2	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
3	Blue Cross Blue Shield 4171_blue cross chip (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
4	Blue Cross Blue Shield 4171_blue cross chip/star kids (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
5	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
6	Blue Cross Blue Shield 4222_chirp blue cross star (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
7	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
8	Blue Cross Blue Shield 5009_blue cross star kids (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
9	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
10	UnitedHealthcare 4256_chirp uhc star (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
11	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
12	UnitedHealthcare 4267_chirp uhc star plus (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
13	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
14	UnitedHealthcare 4314_uhc star kids (hay) outpatient 20241201 fee schedule · outpatient	$486.45	$486.45	$486.45 – $486.45
15	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$910.10	$910.10	$910.10 – $910.10
16	Humana 206_humana hmo custom 20140201 other · outpatient	$969.15	$969.15	$969.15 – $969.15
17	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$988.27	$988.27	$988.27 – $988.27
18	Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges	$1,018	$1,018	$1,018 – $1,018
19	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$1,318	$1,318	$1,318 – $1,318
20	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$1,318	$1,318	$1,318 – $1,318
21	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$1,414	$1,414	$1,414 – $1,414
22	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$1,606	$1,606	$1,606 – $1,606

Last updated: Jan 1, 2026

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