Ultrasound-guided joint or bursa drainage or injection at UPMC Mercy

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

ARTHRO ASP INJ SML JO/BU W US

Pittsburgh, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Mercy’s median price of $179 is 57% below the median hospital's median price ($413), higher than 12% of the 2,136 hospitals reporting CPT 20604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20604 at UPMC Mercy

Negotiated rates from the hospital’s own file: 7 payers, 29 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 pa medicaid facility · fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
2	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
3	Highmark medicaid facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
5	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
6	Highmark managed care - social mission facility · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
7	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
8	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
9	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
10	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
11	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
12	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
13	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
14	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
15	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
16	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
17	Highmark managed care facility · fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
18	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
19	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
20	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
21	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$179	$179	$36	20%	—	$143 – $215
22	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$179	$179	$36	20%	—	$143 – $215
23	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
24	Highmark commercial - indemnity facility · fee schedule · outpatient	$295	$295	—	—	—	$295 – $295
25	Aetna medicare facility · fee schedule · outpatient	$303	$303	$7	2%	—	$296 – $310

Page 1 of 2 · 29 rates

Last updated: Mar 6, 2026

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See Ultrasound-guided joint or bursa drainage or injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.