Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Layer Close N/H/F/G 2.6-7.5 Cm

Utica, NY

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How this price compares nationally

MVHS, Inc.’s median price of $553 is 9% above the median hospital's median price ($507), higher than 57% of the 2,461 hospitals reporting CPT 12042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 12042 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 27 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 commercial per diem · inpatient	$86	$86	—	—	—	$86 – $86
2	UnitedHealthcare uhc empire plan fee schedule · outpatient	$175	$175	—	—	—	$175 – $175
3	Humana humana military other · outpatient	$449	$449	—	—	—	$449 – $449
4	Tricare humana military other · outpatient	$449	$449	—	—	—	$449 – $449
5	Excellus excellus bcbs medicare advantage other · outpatient	$507	$507	—	—	—	$507 – $507
6	Humana humana medicare advantage other · outpatient	$507	$507	—	—	—	$507 – $507
7	Medicare medicare other · outpatient	$507	$507	—	—	—	$507 – $507
8	Optum vaccn optum other · outpatient	$507	$507	—	—	—	$507 – $507
9	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$508	$508	—	—	1–10	$508 – $508
10	UnitedHealthcare uhc medicare advantage other · outpatient	$513	$513	—	—	—	$513 – $513
11	Aetna aetna medicare advantage other · outpatient	$518	$518	—	—	—	$518 – $518
12	WellCare wellcare medicare advantage other · outpatient	$523	$523	—	—	—	$523 – $523
13	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$769	$769	—	—	—	$769 – $769
14	Bcbs Ny excellus bcbs indemnity case rate · outpatient	$852	$852	—	—	—	$852 – $852
15	Blue Cross Blue Shield excellus bcbs hmo/ppo case rate · outpatient	$852	$852	—	—	—	$852 – $852
16	Excellus excellus bcbs hmo/ppo case rate · outpatient	$852	$852	—	—	—	$852 – $852
17	Excellus excellus bcbs indemnity case rate · outpatient	$852	$852	—	—	—	$852 – $852
18	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	Bcbs Ny excellus bcbs indemnity percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
21	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	Excellus excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	Excellus excellus bcbs indemnity percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
24	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
25	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Page 1 of 2 · 27 rates

Last updated: Aug 7, 2026

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