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
HC Dest B/Pre-M Les 2-14 Ea
Utica, NY
See all hospitals reporting CPT 17003 →Price type
MVHS, Inc.’s median price of $8 is 90% below the median hospital's median price ($77), higher than 21% of the 1,779 hospitals reporting CPT 17003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | WellCare wellcare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | WellCare wellcare fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 3 | WellCare wellcare fee schedule · inpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 5 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 6 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Humana humana military fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Tricare humana military fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Medicare medicare fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Humana choicecare fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Humana humana medicare advantage fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 15 | Cigna mvp hmo/ppo fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 21 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 22 | UnitedHealthcare uhc commercial per diem · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 23 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 24 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Aug 7, 2026
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