Prostate needle biopsy pathology exam at Progress West 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Prstat(Gross/Micro)

O'Fallon, MO

See all hospitals reporting HCPCS G0416 →

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Pricing by billing methodology

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How this price compares nationally

Progress West Hospital’s median price of $702 is 74% above the median hospital's median price ($403), higher than 84% of the 1,838 hospitals reporting HCPCS G0416. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0416 at Progress West Hospital

Negotiated rates from the hospital’s own file: 12 payers, 29 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	Cigna bjc hb cigna local plus community fee schedule · both	$258	$258	—	—	—	$258 – $258
2	Aetna bjc hb medicare advantra pwc other · both	$359	$359	—	—	—	$359 – $359
3	Aetna bjc hb medicare gold advantage pwc other · both	$359	$359	—	—	—	$359 – $359
4	Blue Cross Blue Shield bjc hb medicare anthem advantage pwc other · both	$359	$359	—	—	—	$359 – $359
5	Humana bjc hb medicare humana pwc other · both	$359	$359	—	—	—	$359 – $359
6	UnitedHealthcare bjc hb medicare uhc pwc other · both	$359	$359	—	—	—	$359 – $359
7	Devoted bjc hb medicare devoted pwc other · both	$377	$377	—	—	—	$377 – $377
8	Medica bjc hb medicare wellfirst pwc other · both	$377	$377	—	—	—	$377 – $377
9	Cigna bjc hb cigna special community fee schedule · both	$398	$398	—	—	—	$398 – $398
10	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$401	$401	—	—	—	$401 – $401
11	Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both	$417	$417	—	—	—	$417 – $417
12	Blue Cross Blue Shield bjc hb anthem access community fee schedule · both	$422	$422	—	—	—	$422 – $422
13	UnitedHealthcare bjc hb united health care community fee schedule · both	$428	$428	—	—	—	$428 – $428
14	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$688	$688	—	—	—	$688 – $688
15	Aetna bjc hb aetna commercial community percent of total billed charges · bothfrom % of charges	$702	$702	—	—	—	$702 – $702
16	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$920	$920	—	—	—	$920 – $920
17	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$920	$920	—	—	—	$920 – $920
18	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$920	$920	—	—	—	$920 – $920
19	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$920	$920	—	—	—	$920 – $920
20	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$929	$929	—	—	—	$929 – $929
21	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$929	$929	—	—	—	$929 – $929
22	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$929	$929	—	—	—	$929 – $929
23	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$929	$929	—	—	—	$929 – $929
24	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$990	$990	—	—	—	$990 – $990
25	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$990	$990	—	—	—	$990 – $990

Page 1 of 2 · 29 rates

Last updated: Dec 15, 2025

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