Surgical pathology tissue examination, level VI at UPMC East

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

LEVEL 6 GROSS & MICRO EXAM

Monroeville, PA

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How this price compares nationally

UPMC East’s median price of $344 is 55% below the median hospital's median price ($773), higher than 14% of the 2,461 hospitals reporting CPT 88309. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 88309 at UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 40 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	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
2	UnitedHealthcare unison kids facility · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
3	Highmark medicaid facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
5	Highmark managed care - social mission facility · fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
6	Highmark managed care facility · fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
7	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$195	$195	—	—	—	$195 – $195
8	Highmark commercial - indemnity facility · fee schedule · outpatient	$261	$261	—	—	—	$261 – $261
9	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$284	$284	—	—	—	$284 – $284
10	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
11	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$302	$302	—	—	—	$302 – $302
12	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$310	$310	—	—	—	$310 – $310
13	Highmark upmc emergent facility · fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
14	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$327	$327	—	—	—	$327 – $327
15	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$327	$327	—	—	—	$327 – $327
16	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
17	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
18	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
19	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
20	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
21	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
22	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$344	$344	—	—	—	$344 – $344
23	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$344	$344	—	—	—	$344 – $344
24	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$344	$344	—	—	—	$344 – $344
25	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$344	$344	—	—	—	$344 – $344

Page 1 of 2 · 40 rates

Last updated: Mar 6, 2026

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