Prostate needle biopsy pathology exam at UPMC Hanover

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

HC PROSTATE NEEDLE BIOPSY =>10 SPECIMENS

Hanover, 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 Hanover’s median price of $590 is 46% above the median hospital's median price ($403), higher than 79% 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 UPMC Hanover

Negotiated rates from the hospital’s own file: 8 payers, 18 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	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
2	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
3	Highmark medicare facility · fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
4	Aetna aco facility · fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
5	Aetna commercial facility · fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
6	Humana medicare facility · fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
7	Aetna medicare facility · fee schedule · outpatient	$358	$358	—	—	—	$358 – $358
8	Cigna medicare facility · fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
9	UnitedHealthcare medicare facility · fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
10	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$729	$729	—	—	—	$729 – $729
11	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$729	$729	—	—	—	$729 – $729
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$836	$836	—	—	—	$836 – $836
13	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
14	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
15	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
16	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
17	Highmark medicaid facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Highmark commercial facility · fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Mar 6, 2026

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