Prostate needle biopsy pathology exam at UPMC Northwest

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PROSTATE BX ANY MTHD & NO SPEC

Seneca, PA

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How this price compares nationally

UPMC Northwest’s median price of $343 is 15% below the median hospital's median price ($403), higher than 26% of the 1,842 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 Northwest

Negotiated rates from the hospital’s own file: 7 payers, 26 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	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
2	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
3	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
4	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
5	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$298	$298	—	—	—	$298 – $298
6	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$308	$308	—	—	—	$308 – $308
7	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$308	$308	—	—	—	$308 – $308
8	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
9	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
10	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
11	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
12	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$327	$327	—	—	—	$327 – $327
13	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
14	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
15	Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient	$343	$343	—	—	—	$343 – $343
16	Aetna medicare facility · fee schedule · outpatient	$357	$357	$3	1%	—	$353 – $360
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$360	$360	—	—	—	$360 – $360
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$360	$360	—	—	—	$360 – $360
19	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
20	Highmark medicare facility · fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
21	Amerihealth Caritas medicare facility · fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
22	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$377	$377	—	—	—	$377 – $377
23	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$437	$437	—	—	—	$437 – $437
24	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$437	$437	—	—	—	$437 – $437
25	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Page 1 of 2 · 26 rates

Last updated: Mar 6, 2026

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