Ultrasound-guided needle biopsy of first lesion 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/US GDN 1ST LESION

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $292 is 68% below the median hospital's median price ($902), higher than 9% 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 Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 37 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	Aetna medicare advantage professional · fee schedule · both	$67.90	$67.90	$67.90 – $67.90
2	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$67.90	$67.90	$67.90 – $67.90
3	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$67.90	$67.90	$67.90 – $67.90
4	Excellus medicare advantage professional · fee schedule · both	$67.90	$67.90	$67.90 – $67.90
5	Humana tricare professional · fee schedule · both	$67.90	$67.90	$67.90 – $67.90
6	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$81.48	$81.48	$81.48 – $81.48
7	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$86.64	$86.64	$86.64 – $86.64
8	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$100.60	$100.60	$92.44 – $108.75
9	Blue Cross Blue Shield individual network professional · fee schedule · both	$108.64	$108.64	$108.64 – $108.64
10	Excellus managed medicaid/essential plans professional · fee schedule · both	$116.65	$116.65	$116.65 – $116.65
11	Blue Cross Blue Shield blue access professional · fee schedule · both	$120.57	$120.57	$120.57 – $120.57
12	UnitedHealthcare medicare advantage professional · fee schedule · both	$123.77	$123.77	$123.77 – $123.77
13	Blue Cross Blue Shield hmo professional · fee schedule · both	$127.66	$127.66	$127.66 – $127.66
14	Blue Cross Blue Shield ind professional · fee schedule · both	$134.75	$134.75	$134.75 – $134.75
15	Highmark ind/fep professional · fee schedule · both	$141.69	$141.69	$141.69 – $141.69
16	Highmark ppo/hmo professional · fee schedule · both	$141.69	$141.69	$141.69 – $141.69
17	Blue Cross Blue Shield ppo professional · fee schedule · both	$141.85	$141.85	$141.85 – $141.85
18	Excellus commercial professional · fee schedule · both	$160.79	$160.79	$160.79 – $160.79
19	UnitedHealthcare commercial professional · fee schedule · both	$306.58	$306.58	$306.58 – $306.58
20	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$442.64	$442.64	$442.64 – $442.64
21	Excellus medicare advantage facility · fee schedule · outpatient	$812.72	$812.72	$812.72 – $812.72
22	Humana tricare facility · fee schedule · outpatient	$816.68	$816.68	$816.68 – $816.68
23	Aetna medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66
24	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66
25	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66

Page 1 of 2 · 37 rates

Last updated: Apr 28, 2026

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