Ultrasound-guided joint or bursa drainage or injection at Hsa Pgh Llc

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

DRN/INJ SM JNT/BRSA W/US LT

Hialeah, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Hsa Pgh Llc’s median price of $497 is 18% above the median hospital's median price ($421), higher than 58% of the 2,116 hospitals reporting CPT 20604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20604 at Hsa Pgh Llc

Negotiated rates from the hospital’s own file: 15 payers, 44 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	Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges	$65	$75	$15	20%	—	$65 – $97
2	Aetna aetna non-gatekeeper facility · per diem · outpatient	$193	$193	—	—	—	$193 – $193
3	UnitedHealthcare united healthcare of florida exchange facility · percent of total billed charges · outpatientfrom % of charges	$198	$231	$47	20%	—	$198 – $297
4	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$311	$350	$67	19%	—	$311 – $466
5	UnitedHealthcare united healthcare of florida all payer facility · percent of total billed charges · outpatientfrom % of charges	$300	$350	$71	20%	—	$300 – $451
6	UnitedHealthcare united healthcare of florida hmo facility · percent of total billed charges · outpatientfrom % of charges	$300	$350	$71	20%	—	$300 – $451
7	UnitedHealthcare united healthcare of florida ppo facility · percent of total billed charges · outpatientfrom % of charges	$300	$350	$71	20%	—	$300 – $451
8	Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient	$331	$372	$72	19%	—	$331 – $497
9	Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient	$331	$372	$72	19%	—	$331 – $497
10	Humana humana medical plan / fl medicaid facility · fee schedule · outpatient	$331	$372	$72	19%	—	$331 – $497
11	UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient	$336	$378	$73	19%	—	$336 – $504
12	Humana humana commercial hmo facility · other · outpatient	$325	$379	$77	20%	—	$325 – $487
13	Molina molina managed medicaid facility · other · outpatient	$341	$384	$74	19%	—	$341 – $512
14	Humana humana commercial ppo facility · other · outpatient	$340	$396	$80	20%	—	$340 – $510
15	Aetna aetna non-gatekeeper facility · case rate · outpatient	$407	$407	—	—	—	$407 – $407
16	Humana humana commercial hmo facility · case rate · outpatient	$440	$440	—	—	—	$440 – $440
17	Humana humana commercial ppo facility · case rate · outpatient	$461	$461	—	—	—	$461 – $461
18	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$418	$488	$99	20%	—	$418 – $628
19	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$418	$488	$99	20%	—	$418 – $628
20	Molina molina marketplace program exchange facility · fee schedule · outpatient	$436	$490	$94	19%	—	$436 – $654
21	Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges	$477	$556	$112	20%	—	$477 – $715
22	Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges	$477	$556	$112	20%	—	$477 – $715
23	Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$502	$586	$118	20%	—	$502 – $753
24	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$561	$654	$132	20%	—	$561 – $841
25	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$561	$654	$132	20%	—	$561 – $841

Page 1 of 2 · 44 rates

Last updated: Sep 1, 2026

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