Fine needle biopsy with MRI guidance, 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

HC - FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $860 is 6% below the median hospital's median price ($919), higher than 44% of the 1,679 hospitals reporting CPT 10011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10011 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 28 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	$245.90	$245.90	$245.90 – $245.90
2	UnitedHealthcare medicare advantage professional · fee schedule · both	$351.28	$351.28	$351.28 – $351.28
3	Excellus commercial professional · fee schedule · both	$386.08	$386.08	$386.08 – $386.08
4	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$441.92	$441.92	$406.08 – $477.75
5	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$442.64	$442.64	$442.64 – $442.64
6	Excellus managed medicaid/essential plans professional · fee schedule · both	$568.00	$568.00	$568.00 – $568.00
7	Blue Cross Blue Shield blue access professional · fee schedule · both	$569.10	$569.10	$569.10 – $569.10
8	Blue Cross Blue Shield hmo professional · fee schedule · both	$569.10	$569.10	$569.10 – $569.10
9	Blue Cross Blue Shield ind professional · fee schedule · both	$569.10	$569.10	$569.10 – $569.10
10	Blue Cross Blue Shield ppo professional · fee schedule · both	$569.10	$569.10	$569.10 – $569.10
11	UnitedHealthcare commercial professional · fee schedule · both	$726.83	$726.83	$726.83 – $726.83
12	Excellus medicare advantage facility · fee schedule · outpatient	$812.72	$812.72	$812.72 – $812.72
13	Humana tricare facility · fee schedule · outpatient	$816.68	$816.68	$816.68 – $816.68
14	Aetna medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66
15	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66
16	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66
17	Blue Cross Blue Shield individual network facility · fee schedule · outpatient	$1,375	$1,375	$1,375 – $1,375
18	Highmark ppo/hmo facility · case rate · outpatient	$1,410	$1,410	$1,410 – $1,410
19	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,412	$1,412	$1,412 – $1,412
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,512	$1,512	$1,512 – $1,512
21	MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges	$1,882	$1,882	$1,882 – $1,882
22	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$2,133	$2,133	$2,133 – $2,133
23	Highmark ind/fep facility · case rate · outpatient	$2,514	$2,514	$2,514 – $2,514
24	Blue Cross Blue Shield blue access facility · case rate · outpatient	$3,922	$3,922	$3,922 – $3,922
25	Excellus commercial facility · fee schedule · outpatient	$4,082	$4,082	$4,082 – $4,082

Page 1 of 2 · 28 rates

Last updated: Apr 28, 2026

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