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.
Original text from hospital filings
SP GROSS&MICRO PROSTATE NEEDLE BIOPSY 10-20 SPEC
Hackensack, NJ
See all hospitals reporting HCPCS G0416 →Price type
Hmh Hospitals Corporation’s median price of $1.5k is 267% above the median hospital's median price ($403), higher than 97% of the 1,851 hospitals reporting HCPCS G0416. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 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 | Optum managed medicaid facility · fee schedule · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $416 | $416 | — | — | — | $416 – $416 |
| 3 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $424 | $424 | — | — | — | $424 – $424 |
| 4 | Optum medicare advantage facility · fee schedule · outpatient | $424 | $424 | — | — | — | $424 – $424 |
| 5 | WellCare managed medicaid facility · fee schedule · outpatient | $424 | $424 | — | — | — | $424 – $424 |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $424 | $424 | — | — | — | $424 – $424 |
| 7 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 8 | UnitedHealthcare hmo facility · fee schedule · outpatient | $673 | $673 | — | — | — | $673 – $673 |
| 9 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | Aetna asa facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 14 | Aetna hmo facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 15 | Aetna ppo facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Dec 31, 2025
See Prostate needle biopsy pathology exam pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.