Biopsy of visible nasopharynx lesion at Conway Hospital, Inc.

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

Biopsy of upper nose/throat

Conway, SC

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Pricing by billing methodology

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How this price compares nationally

Conway Hospital, Inc.’s median price of $185 is 94% below the median hospital's median price ($3.2k), higher than 9% of the 1,643 hospitals reporting CPT 42804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42804 at Conway Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 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 facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
2	Blue Cross Blue Shield narrow network facility · percent of total billed charges · inpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
3	Blue Cross Blue Shield narrow network facility · percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
4	Blue Cross Blue Shield exchange facility · percent of total billed charges · inpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
5	Blue Cross Blue Shield exchange facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
6	Aetna commercial professional · fee schedule · outpatient	$98	$98	$80	82%	—	$18 – $178
7	Blue Cross Blue Shield state health plan facility · percent of total billed charges · inpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
8	Blue Cross Blue Shield state health plan facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
9	Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
10	Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
11	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
12	Aetna medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
13	Blue Cross Blue Shield medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
14	Clover medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
15	Humana commercial professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
16	Humana medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
17	Molina exchange professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
18	Molina medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
19	UnitedHealthcare medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
20	WellCare medicare professional · fee schedule · outpatient	$153	$153	$40	26%	—	$113 – $193
21	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
22	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
23	Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
24	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
25	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$160	$160	$1	0%	—	$159 – $161

Page 1 of 2 · 37 rates

Last updated: May 20, 2026

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