Needle biopsy of salivary gland at UPMC Presbyterian

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

BX SALIVARY GLAND/NDL

Pittsburgh, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Presbyterian’s median price of $913 is about the same as the median hospital's median price ($906), higher than 51% of the 2,134 hospitals reporting CPT 42400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42400 at UPMC Presbyterian

Negotiated rates from the hospital’s own file: 8 payers, 22 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 chip/medicaid facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
2	Highmark medicaid facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	Highmark medicare advantage facility · fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
5	MultiPlan worker's compensation facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
6	Highmark managed care - social mission facility · fee schedule · outpatient	$326	$326	—	—	—	$326 – $326
7	Highmark managed care facility · fee schedule · outpatient	$436	$436	—	—	—	$436 – $436
8	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$669	$669	—	—	—	$669 – $669
9	Amerihealth Caritas medicare facility · fee schedule · outpatient	$724	$724	—	—	—	$724 – $724
10	Cigna medicare transplant facility · fee schedule · outpatient	$724	$724	—	—	—	$724 – $724
11	Highmark medicare facility · fee schedule · outpatient	$724	$724	—	—	—	$724 – $724
12	UnitedHealthcare medicare facility · fee schedule · outpatient	$724	$724	—	—	—	$724 – $724
13	Aetna medicare facility · fee schedule · outpatient	$738	$738	—	—	—	$738 – $738
14	Highmark upmc emergent facility · fee schedule · outpatient	$872	$872	—	—	—	$872 – $872
15	Highmark commercial - indemnity facility · fee schedule · outpatient	$896	$896	—	—	—	$896 – $896
16	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$931	$931	—	—	—	$931 – $931
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
21	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
22	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Last updated: Mar 6, 2026

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