Breast lesion incision 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

Mastotomy W/Exploration/Drainage Abscess Deep

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $86 is 96% below the median hospital's median price ($2.0k), higher than 0% of the 2,084 hospitals reporting CPT 19020. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 19020 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 35 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 medicare advantage percent of total billed charges · inpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
4	UnitedHealthcare uhc commercial per diem · inpatient	$86	$86	—	—	—	$86 – $86
5	UnitedHealthcare uhc commercial per diem · outpatient	$86	$86	—	—	—	$86 – $86
6	Humana humana military percent of total billed charges · inpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
7	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
8	Humana choicecare fee schedule · both	$147	$147	—	—	—	$147 – $147
9	Humana humana medicare advantage fee schedule · both	$147	$147	—	—	—	$147 – $147
10	Aetna aetna medicare advantage fee schedule · both	$150	$150	—	—	—	$150 – $150
11	Medicare medicare fee schedule · both	$150	$150	—	—	—	$150 – $150
12	WellCare wellcare fee schedule · both	$154	$154	—	—	—	$154 – $154
13	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$183	$183	—	—	—	$183 – $183
14	Cigna mvp hmo/ppo fee schedule · both	$207	$207	—	—	—	$207 – $207
15	UnitedHealthcare uhc empire plan fee schedule · outpatient	$312	$312	$45	14%	—	$267 – $357
16	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$648	$648	—	—	—	$648 – $648
17	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$966	$966	—	—	—	$966 – $966
18	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Humana humana military other · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Page 1 of 2 · 35 rates

Last updated: Aug 7, 2026

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