Prostate needle biopsy pathology exam at UPMC Kane

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

SAT BIOPSY PROSTATE 1 20

Kane, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Kane’s median price of $463 is 15% above the median hospital's median price ($403), higher than 64% of the 1,835 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 Kane

Negotiated rates from the hospital’s own file: 6 payers, 19 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	UnitedHealthcare commercial facility · fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
2	Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
3	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
4	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
5	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
6	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$285	$285	—	—	—	$285 – $285
7	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
8	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	—	$296 – $296
9	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	—	$296 – $296
10	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$302	$302	—	—	—	$302 – $302
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$519	$519	—	—	—	$519 – $519
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$519	$519	—	—	—	$519 – $519
13	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$556	$556	—	—	—	$556 – $556
14	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$556	$556	—	—	—	$556 – $556
15	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$759	$759	—	—	—	$759 – $759
16	Highmark managed care - social mission facility · fee schedule · outpatient	$759	$759	—	—	—	$759 – $759
17	Highmark commercial - indemnity facility · fee schedule · outpatient	$929	$929	—	—	—	$929 – $929
18	Highmark managed care facility · fee schedule · outpatient	$929	$929	—	—	—	$929 – $929
19	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$16.7k	$16.7k	—	—	—	$16.7k – $16.7k

Last updated: Mar 6, 2026

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