Prostate needle biopsy pathology exam at Sebasticook Valley Health

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

Prostate biopsy any mthd

Pittsfield, ME

See all hospitals reporting HCPCS G0416 →

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Pricing by billing methodology

Price type

How this price compares nationally

Sebasticook Valley Health’s median price of $284 is 30% below the median hospital's median price ($403), higher than 13% of the 1,851 hospitals reporting HCPCS G0416. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0416 at Sebasticook Valley Health

Negotiated rates from the hospital’s own file: 5 payers, 30 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 commercial professional · fee schedule · outpatient	$163	$163	$10	6%	—	$154 – $173
2	Aetna mcr advantage professional · fee schedule · outpatient	$167	$167	$4	3%	—	$162 – $171
3	Anthem mcr advantage professional · fee schedule · outpatient	$167	$167	$4	3%	—	$162 – $171
4	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$170	$170	$5	3%	—	$165 – $174
5	WellCare mcr advantage professional · fee schedule · outpatient	$170	$170	$5	3%	—	$165 – $174
6	Aetna mcr advantage facility · case rate · outpatient	$190	$190	—	—	—	$190 – $190
7	UnitedHealthcare mcr advantage facility · case rate · outpatient	$190	$190	—	—	—	$190 – $190
8	WellCare mcr advantage facility · case rate · outpatient	$190	$190	—	—	—	$190 – $190
9	Anthem mcr advantage facility · case rate · outpatient	$192	$192	—	—	—	$192 – $192
10	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
11	Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
12	UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
13	WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
14	Aetna commercial professional · fee schedule · outpatient	$291	$291	$8	3%	—	$284 – $299
15	Anthem commercial professional · fee schedule · outpatient	$344	$344	$20	6%	—	$324 – $364
16	Anthem enhanced pathways professional · fee schedule · outpatient	$344	$344	$20	6%	—	$324 – $364
17	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
18	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
19	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
20	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$373	$373	—	—	—	$373 – $373
22	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$400	$400	—	—	—	$400 – $400
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$414	$414	—	—	—	$414 – $414

Page 1 of 2 · 30 rates

Last updated: Mar 30, 2026

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