Drainage of a gland abscess 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

I-D BARTHOLINS GLAND CYST

Pittsburgh, PA

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How this price compares nationally

UPMC Mercy’s median price of $825 is 181% above the median hospital's median price ($293), higher than 82% of the 2,341 hospitals reporting CPT 56420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 56420 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	$58	$58	—	—	—	$58 – $58
2	Highmark medicaid facility · fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
4	Aetna medicare facility · fee schedule · outpatient	$206	$206	$5	2%	—	$201 – $211
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$207	$207	—	—	—	$207 – $207
6	Highmark medicare facility · fee schedule · outpatient	$207	$207	—	—	—	$207 – $207
7	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
8	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$575	$575	—	—	—	$575 – $575
9	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$628	$628	—	—	—	$628 – $628
10	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$631	$631	—	—	—	$631 – $631
11	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$639	$639	—	—	—	$639 – $639
12	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$687	$687	—	—	—	$687 – $687
13	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$701	$701	—	—	—	$701 – $701
14	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$701	$701	—	—	—	$701 – $701
15	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$784	$784	—	—	—	$784 – $784
16	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$784	$784	—	—	—	$784 – $784
17	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$825	$825	—	—	—	$825 – $825
18	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$825	$825	—	—	—	$825 – $825
19	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$845	$845	—	—	—	$845 – $845
20	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$907	$907	—	—	—	$907 – $907
21	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$907	$907	—	—	—	$907 – $907
22	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.0k	$1.0k	$206	20%	—	$825 – $1.2k
23	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$206	20%	—	$825 – $1.2k
24	Highmark managed care - social mission facility · fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Highmark managed care facility · fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Page 1 of 2 · 29 rates

Last updated: Mar 6, 2026

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