Pedicle flap formation for face, neck, or hands 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

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $81 is 96% below the median hospital's median price ($2.3k), higher than 0% of the 1,639 hospitals reporting CPT 15574. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 15574 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 24 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	$44	$44	—	—	—	$44 – $44
2	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
3	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
4	Humana humana military percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
5	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
6	Aetna aetna medicare advantage fee schedule · both	$306	$306	—	—	—	$306 – $306
7	Medicare medicare fee schedule · both	$306	$306	—	—	—	$306 – $306
8	WellCare wellcare fee schedule · both	$315	$315	—	—	—	$315 – $315
9	Humana choicecare fee schedule · both	$339	$339	—	—	—	$339 – $339
10	Humana humana medicare advantage fee schedule · both	$339	$339	—	—	—	$339 – $339
11	UnitedHealthcare uhc empire plan fee schedule · outpatient	$357	$357	—	—	—	$357 – $357
12	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$424	$424	—	—	—	$424 – $424
13	Cigna mvp hmo/ppo fee schedule · both	$487	$487	—	—	—	$487 – $487
14	Humana humana military other · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
15	Tricare humana military other · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
16	Excellus excellus bcbs medicare advantage other · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
17	Humana humana medicare advantage other · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
18	Medicare medicare other · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
19	Optum vaccn optum other · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
20	UnitedHealthcare uhc medicare advantage other · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
21	Aetna aetna medicare advantage other · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
22	WellCare wellcare medicare advantage other · outpatient	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
23	UnitedHealthcare uhc commercial fee schedule · outpatient	$6.0k	$6.0k	—	—	—	$6.0k – $6.0k
24	Cigna mvp and cigna commercial other · outpatient	$7.4k	$7.4k	—	—	—	$7.4k – $7.4k

Last updated: Aug 7, 2026

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