Prostate needle biopsy pathology exam at UPMC Memorial

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

York, PA

See all hospitals reporting HCPCS G0416 →

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How this price compares nationally

UPMC Memorial’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 Memorial

Negotiated rates from the hospital’s own file: 6 payers, 17 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	$214	$214	—	—	—	$214 – $214
2	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
3	Aetna medicare facility · fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
4	Cigna medicare facility · fee schedule · outpatient	$362	$362	—	—	—	$362 – $362
5	UnitedHealthcare medicare facility · fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
6	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$443	$443	—	—	—	$443 – $443
7	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$515	$515	—	—	—	$515 – $515
8	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
9	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$609	$609	—	—	—	$609 – $609
10	Highmark medicare facility · fee schedule · outpatient	$631	$631	—	—	—	$631 – $631
11	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$649	$649	—	—	—	$649 – $649
12	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$649	$649	—	—	—	$649 – $649
13	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$836	$836	—	—	—	$836 – $836
14	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
15	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
16	Highmark medicaid facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	Highmark commercial facility · fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Mar 6, 2026

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