Superficial shoulder soft tissue biopsy at Methodist Hospital

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, soft tissue of shoulder area; superficial

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Methodist Hospital’s median price of $1.6k is 8% below the median hospital's median price ($1.7k), higher than 37% of the 1,591 hospitals reporting CPT 23065. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 23065 at Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 47 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	UnitedHealthcare mcd fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
2	First Health mcdstarkids fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
3	First Health starplus fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
4	Molina chip fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
5	Molina mcdstar fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
6	Molina star+plus fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
7	Molina starkids fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
8	Humana mgmcd fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
9	Aetna Better Health chip fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
10	Aetna Better Health chipepo fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
11	Aetna Better Health chipperinate fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
12	Aetna Better Health chpfc fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
13	Aetna Better Health star fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
14	Aetna Better Health star+plus fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
15	Aetna Better Health starkids fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
16	First Health chip per diem · outpatient	$365	$365	—	—	—	$365 – $365
17	First Health chipperinate per diem · outpatient	$365	$365	—	—	—	$365 – $365
18	First Health mcdstar per diem · outpatient	$365	$365	—	—	—	$365 – $365
19	Aetna qhphix case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
21	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	Oscar broadnetworkhix case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
23	Oscar epo case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
24	Oscar pos case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
25	Oscar ppo case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Page 1 of 2 · 47 rates

Last updated: May 1, 2026

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