Prostate needle biopsy pathology exam at UPMC Hamot

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 BX ANY MTHD & NO SPEC

Erie, PA

See all hospitals reporting HCPCS G0416 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Hamot’s median price of $390 is 3% below the median hospital's median price ($403), higher than 45% 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 UPMC Hamot

Negotiated rates from the hospital’s own file: 8 payers, 28 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	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
2	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
3	UnitedHealthcare commercial facility · fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
4	Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
5	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
6	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
7	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
8	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
9	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
10	Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
11	Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
12	Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges	$390	$390	—	—	—	$390 – $390
13	Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges	$390	$390	—	—	—	$390 – $390
14	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges	$390	$390	—	—	—	$390 – $390
15	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges	$390	$390	—	—	—	$390 – $390
16	Aetna medicare facility · fee schedule · outpatient	$404	$404	—	—	—	$404 – $404
17	WellCare medicare advantage facility · fee schedule · outpatient	$408	$408	—	—	—	$408 – $408
18	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$416	$416	—	—	—	$416 – $416
19	UnitedHealthcare medicare facility · fee schedule · outpatient	$424	$424	—	—	—	$424 – $424
20	Highmark medicare facility · fee schedule · outpatient	$427	$427	—	—	—	$427 – $427
21	Amerihealth Caritas medicare facility · fee schedule · outpatient	$427	$427	—	—	—	$427 – $427
22	Cigna medicare facility · fee schedule · outpatient	$427	$427	—	—	—	$427 – $427
23	MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges	$446	$446	—	—	—	$446 – $446
24	MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges	$446	$446	—	—	—	$446 – $446
25	Blue Cross Blue Shield commercial facility · fee schedule · outpatient	$723	$723	—	—	—	$723 – $723

Page 1 of 2 · 28 rates

Last updated: Mar 6, 2026

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