Superficial bone biopsy using a needle 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 BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL

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 $472 is 73% below the median hospital's median price ($1.7k), higher than 11% of the 2,256 hospitals reporting CPT 20220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20220 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	Aetna medicare advantage professional · fee schedule · both	$81.10	$81.10	$81.10 – $81.10
2	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$81.10	$81.10	$81.10 – $81.10
3	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$81.10	$81.10	$81.10 – $81.10
4	Excellus medicare advantage professional · fee schedule · both	$81.10	$81.10	$81.10 – $81.10
5	Humana tricare professional · fee schedule · both	$81.10	$81.10	$81.10 – $81.10
6	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$97.32	$97.32	$97.32 – $97.32
7	Aetna commercial professional · fee schedule · both	$124.08	$124.08	$124.08 – $124.08
8	Blue Cross Blue Shield individual network professional · fee schedule · both	$129.76	$129.76	$129.76 – $129.76
9	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$147.24	$147.24	$147.24 – $147.24
10	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$148.62	$148.62	$136.57 – $160.66
11	Excellus managed medicaid/essential plans professional · fee schedule · both	$173.29	$173.29	$173.29 – $173.29
12	Blue Cross Blue Shield blue access professional · fee schedule · both	$186.11	$186.11	$186.11 – $186.11
13	Blue Cross Blue Shield hmo professional · fee schedule · both	$197.06	$197.06	$197.06 – $197.06
14	Blue Cross Blue Shield ind professional · fee schedule · both	$208.01	$208.01	$208.01 – $208.01
15	UnitedHealthcare medicare advantage professional · fee schedule · both	$210.34	$210.34	$210.34 – $210.34
16	Blue Cross Blue Shield ppo professional · fee schedule · both	$218.95	$218.95	$218.95 – $218.95
17	Highmark ind/fep professional · fee schedule · both	$261.28	$261.28	$261.28 – $261.28
18	Highmark ppo/hmo professional · fee schedule · both	$261.28	$261.28	$261.28 – $261.28
19	Excellus commercial professional · fee schedule · both	$300.14	$300.14	$300.14 – $300.14
20	UnitedHealthcare commercial professional · fee schedule · both	$532.75	$532.75	$532.75 – $532.75
21	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$560.50	$560.50	$560.50 – $560.50
22	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$1,019	$1,019	$1,019 – $1,019
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,778	$1,778	$1,778 – $1,778
24	Excellus medicare advantage facility · fee schedule · outpatient	$1,872	$1,872	$1,872 – $1,872
25	Humana tricare facility · fee schedule · outpatient	$1,881	$1,881	$1,881 – $1,881

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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