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
PROSTATE BX ANY MTHD & NO SPEC
Pittsburgh, PA
See all hospitals reporting HCPCS G0416 →Price type
UPMC Presbyterian’s median price of $1.0k is 156% above the median hospital's median price ($403), higher than 93% of the 1,851 hospitals reporting HCPCS G0416. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 chip/pa medicaid facility · fee schedule · outpatient | $237 | $237 | — | — | — | $237 – $237 |
| 2 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 3 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 4 | Cigna medicare transplant facility · fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 5 | Highmark medicare facility · fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 7 | Aetna medicare facility · fee schedule · outpatient | $377 | $377 | — | — | — | $377 – $377 |
| 8 | Highmark medicare advantage facility · fee schedule · outpatient | $782 | $782 | — | — | — | $782 – $782 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $964 | $964 | — | — | — | $964 – $964 |
| 10 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $964 | $964 | — | — | — | $964 – $964 |
| 11 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Highmark managed care facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | Highmark commercial - indemnity facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 19 | Highmark upmc emergent facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
Last updated: Mar 6, 2026
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