Drainage of a fluid-filled lesion by needle puncture 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 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $251 is 44% below the median hospital's median price ($445), higher than 16% of the 2,486 hospitals reporting CPT 10160. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10160 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 38 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	$84.67	$84.67	$84.67 – $84.67
2	Blue Cross Blue Shield blue access professional · fee schedule · both	$86.37	$86.37	$86.37 – $86.37
3	Aetna medicare advantage professional · fee schedule · both	$90.88	$90.88	$90.88 – $90.88
4	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$90.88	$90.88	$90.88 – $90.88
5	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$90.88	$90.88	$90.88 – $90.88
6	Excellus medicare advantage professional · fee schedule · both	$90.88	$90.88	$90.88 – $90.88
7	Humana tricare professional · fee schedule · both	$90.88	$90.88	$90.88 – $90.88
8	Blue Cross Blue Shield hmo professional · fee schedule · both	$91.45	$91.45	$91.45 – $91.45
9	Blue Cross Blue Shield ind professional · fee schedule · both	$96.53	$96.53	$96.53 – $96.53
10	Excellus managed medicaid/essential plans professional · fee schedule · both	$99.78	$99.78	$99.78 – $99.78
11	Blue Cross Blue Shield ppo professional · fee schedule · both	$101.61	$101.61	$101.61 – $101.61
12	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$109.06	$109.06	$109.06 – $109.06
13	UnitedHealthcare medicare advantage professional · fee schedule · both	$120.96	$120.96	$120.96 – $120.96
14	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$131.89	$131.89	$121.19 – $142.58
15	Aetna commercial professional · fee schedule · both	$139.05	$139.05	$139.05 – $139.05
16	Highmark ind/fep professional · fee schedule · both	$143.23	$143.23	$143.23 – $143.23
17	Highmark ppo/hmo professional · fee schedule · both	$143.23	$143.23	$143.23 – $143.23
18	Blue Cross Blue Shield individual network professional · fee schedule · both	$145.41	$145.41	$145.41 – $145.41
19	Excellus commercial professional · fee schedule · both	$155.60	$155.60	$155.60 – $155.60
20	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$251.35	$251.35	$251.35 – $251.35
21	UnitedHealthcare commercial professional · fee schedule · both	$293.08	$293.08	$293.08 – $293.08
22	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$437.78	$437.78	$437.78 – $437.78
23	Excellus medicare advantage facility · fee schedule · outpatient	$461.50	$461.50	$461.50 – $461.50
24	Humana tricare facility · fee schedule · outpatient	$463.74	$463.74	$463.74 – $463.74
25	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$468.48	$468.48	$468.48 – $468.48

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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