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
BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INGUINOFEMORAL NODE(S)
Monroeville, PA
See all hospitals reporting CPT 38531 →Price type
UPMC East’s median price of $3.7k is 8% below the median hospital's median price ($4.0k), higher than 35% of the 1,971 hospitals reporting CPT 38531. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 3 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $794 | $794 | — | — | — | $794 – $794 |
| 4 | Highmark managed care facility · fee schedule · outpatient | $818 | $818 | — | — | — | $818 – $818 |
| 5 | Highmark commercial - indemnity facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Highmark upmc emergent facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 9 | Aetna medicare facility · fee schedule · outpatient | $3.9k | $3.9k | $91 | 2% | — | $3.8k – $4.0k |
| 10 | Highmark medicare facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 11 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 12 | Cigna medicare facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 13 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
Last updated: Mar 6, 2026
See Open biopsy of groin lymph nodes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.