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
Adjt Tis Trns/Reargmt F/C/C/M/N/a/G/H/F 10sqcm/<
Utica, NY
See all hospitals reporting CPT 14040 →Price type
MVHS, Inc.’s median price of $86 is 96% below the median hospital's median price ($2.2k), higher than 0% of the 2,110 hospitals reporting CPT 14040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 34 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 3 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $257 | $257 | — | — | — | $257 – $257 |
| 6 | WellCare wellcare fee schedule · both | $270 | $270 | — | — | — | $270 – $270 |
| 7 | Humana humana military fee schedule · both | $339 | $339 | — | — | — | $339 – $339 |
| 8 | Tricare humana military fee schedule · both | $339 | $339 | — | — | — | $339 – $339 |
| 9 | Humana choicecare fee schedule · both | $357 | $357 | — | — | — | $357 – $357 |
| 10 | Humana humana medicare advantage fee schedule · both | $357 | $357 | — | — | — | $357 – $357 |
| 11 | Medicare medicare fee schedule · both | $367 | $367 | — | — | — | $367 – $367 |
| 12 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $446 | $446 | — | — | — | $446 – $446 |
| 13 | Cigna mvp hmo/ppo fee schedule · both | $502 | $502 | — | — | — | $502 – $502 |
| 14 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $568 | $568 | $212 | 37% | — | $357 – $780 |
| 15 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | Humana humana military other · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 25 | Tricare humana military other · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Aug 7, 2026
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