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.
Original text from hospital filings
KT SAMPLER PICO23GA NEEDLE RAD
Pittsburgh, PA
See all hospitals reporting HCPCS A4657 →Price type
UPMC Presbyterian’s median price of $435 is 28518% above the median hospital's median price ($2), higher than 96% of the 377 hospitals reporting HCPCS A4657. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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 | Highmark medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 4 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 5 | Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 6 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 7 | Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 8 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
| 10 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
| 11 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $464 | $464 | — | — | — | $464 – $464 |
| 12 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $464 | $464 | — | — | — | $464 – $464 |
| 13 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $493 | $493 | — | — | — | $493 – $493 |
| 14 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $493 | $493 | — | — | — | $493 – $493 |
| 15 | Highmark upmc emergent facility · percent of total billed charges · outpatientfrom % of charges | $592 | $592 | — | — | — | $592 – $592 |
Last updated: Mar 6, 2026
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