Surgical cleaning of necrotizing infection, genitals and perineum at MVHS, Inc.

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

HC Debbridment Skin External Gent&Per

Utica, NY

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Pricing by billing methodology

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How this price compares nationally

MVHS, Inc.’s median price of $554 is 74% below the median hospital's median price ($2.1k), higher than 19% of the 1,440 hospitals reporting CPT 11004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11004 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 23 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 uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
2	Humana humana military percent of total billed charges · inpatientfrom % of charges	$196	$196	—	—	—	$196 – $196
3	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$196	$196	—	—	—	$196 – $196
4	Aetna aetna medicare advantage fee schedule · both	$240	$240	—	—	—	$240 – $240
5	Medicare medicare fee schedule · both	$240	$240	—	—	—	$240 – $240
6	WellCare wellcare fee schedule · both	$247	$247	—	—	—	$247 – $247
7	Humana choicecare fee schedule · both	$261	$261	—	—	—	$261 – $261
8	Humana humana medicare advantage fee schedule · both	$261	$261	—	—	—	$261 – $261
9	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$327	$327	—	—	—	$327 – $327
10	Cigna mvp hmo/ppo fee schedule · both	$368	$368	—	—	—	$368 – $368
11	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$554	$554	—	—	—	$554 – $554
12	UnitedHealthcare uhc empire plan fee schedule · outpatient	$572	$572	—	—	—	$572 – $572
13	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$839	$839	—	—	—	$839 – $839
14	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
16	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	UnitedHealthcare uhc commercial case rate · inpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
23	UnitedHealthcare uhc commercial fee schedule · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Last updated: Aug 7, 2026

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