Fine needle biopsy of additional lesions at Champlain Valley Physicians Hospital Medical Center

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 FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL

Plattsburgh, NY

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Pricing by billing methodology

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $50 is 89% below the median hospital's median price ($461), higher than 14% of the 1,449 hospitals reporting CPT 10004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10004 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 20 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	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$34.66	$34.66	$34.66 – $34.66
2	Aetna medicare advantage professional · fee schedule · both	$40.31	$40.31	$40.31 – $40.31
3	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$40.31	$40.31	$40.31 – $40.31
4	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$40.31	$40.31	$40.31 – $40.31
5	Excellus medicare advantage professional · fee schedule · both	$40.31	$40.31	$40.31 – $40.31
6	Humana tricare professional · fee schedule · both	$40.31	$40.31	$40.31 – $40.31
7	Blue Cross Blue Shield blue access professional · fee schedule · both	$44.87	$44.87	$44.87 – $44.87
8	Blue Cross Blue Shield hmo professional · fee schedule · both	$47.50	$47.50	$47.50 – $47.50
9	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$48.37	$48.37	$48.37 – $48.37
10	Excellus managed medicaid/essential plans professional · fee schedule · both	$48.45	$48.45	$48.45 – $48.45
11	UnitedHealthcare medicare advantage professional · fee schedule · both	$49.52	$49.52	$49.52 – $49.52
12	Blue Cross Blue Shield ind professional · fee schedule · both	$50.14	$50.14	$50.14 – $50.14
13	Blue Cross Blue Shield ppo professional · fee schedule · both	$52.78	$52.78	$52.78 – $52.78
14	Highmark ind/fep professional · fee schedule · both	$57.56	$57.56	$57.56 – $57.56
15	Highmark ppo/hmo professional · fee schedule · both	$57.56	$57.56	$57.56 – $57.56
16	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$57.93	$57.93	$53.23 – $62.63
17	Excellus commercial professional · fee schedule · both	$62.52	$62.52	$62.52 – $62.52
18	Blue Cross Blue Shield individual network professional · fee schedule · both	$64.50	$64.50	$64.50 – $64.50
19	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$103.55	$103.55	$103.55 – $103.55
20	UnitedHealthcare commercial professional · fee schedule · both	$114.67	$114.67	$114.67 – $114.67

Last updated: Apr 28, 2026

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