Percutaneous kidney 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 RENAL BIOPSY PRQ TROCAR/NEEDLE

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 $1.0k is 46% below the median hospital's median price ($1.9k), higher than 15% of the 2,236 hospitals reporting CPT 50200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 50200 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	Excellus managed medicaid/essential plans professional · fee schedule · both	$113.35	$113.35	$113.35 – $113.35
2	Aetna medicare advantage professional · fee schedule · both	$117.12	$117.12	$117.12 – $117.12
3	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$117.12	$117.12	$117.12 – $117.12
4	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$117.12	$117.12	$117.12 – $117.12
5	Excellus medicare advantage professional · fee schedule · both	$117.12	$117.12	$117.12 – $117.12
6	Humana tricare professional · fee schedule · both	$117.12	$117.12	$117.12 – $117.12
7	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$140.54	$140.54	$140.54 – $140.54
8	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$155.31	$155.31	$142.71 – $167.90
9	Aetna commercial professional · fee schedule · both	$179.19	$179.19	$179.19 – $179.19
10	Blue Cross Blue Shield individual network professional · fee schedule · both	$187.39	$187.39	$187.39 – $187.39
11	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$320.50	$320.50	$320.50 – $320.50
12	Blue Cross Blue Shield blue access professional · fee schedule · both	$359.84	$359.84	$359.84 – $359.84
13	Blue Cross Blue Shield hmo professional · fee schedule · both	$381.01	$381.01	$381.01 – $381.01
14	Blue Cross Blue Shield ind professional · fee schedule · both	$402.17	$402.17	$402.17 – $402.17
15	Blue Cross Blue Shield ppo professional · fee schedule · both	$423.34	$423.34	$423.34 – $423.34
16	UnitedHealthcare medicare advantage professional · fee schedule · both	$457.85	$457.85	$457.85 – $457.85
17	Highmark ind/fep professional · fee schedule · both	$591.45	$591.45	$591.45 – $591.45
18	Highmark ppo/hmo professional · fee schedule · both	$591.45	$591.45	$591.45 – $591.45
19	Excellus commercial professional · fee schedule · both	$816.68	$816.68	$816.68 – $816.68
20	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$1,019	$1,019	$1,019 – $1,019
21	UnitedHealthcare commercial professional · fee schedule · both	$1,167	$1,167	$1,167 – $1,167
22	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$1,336	$1,336	$1,336 – $1,336
23	Excellus medicare advantage facility · fee schedule · outpatient	$1,872	$1,872	$1,872 – $1,872
24	Humana tricare facility · fee schedule · outpatient	$1,881	$1,881	$1,881 – $1,881
25	Aetna medicare advantage facility · fee schedule · outpatient	$1,980	$1,980	$1,980 – $1,980

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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