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
Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd
Utica, NY
See all hospitals reporting CPT 22853 →Price type
MVHS, Inc.’s median price of $13 is 99% below the median hospital's median price ($1.7k), higher than 1% of the 1,572 hospitals reporting CPT 22853. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 30 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 medicare advantage percent of total billed charges · inpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 4 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Aetna aetna medicare advantage fee schedule · both | $110 | $110 | $103 | 94% | — | $7 – $213 |
| 8 | Medicare medicare fee schedule · both | $110 | $110 | $103 | 94% | — | $7 – $213 |
| 9 | WellCare wellcare fee schedule · both | $113 | $113 | $106 | 94% | — | $7 – $220 |
| 10 | Humana choicecare fee schedule · both | $121 | $121 | $114 | 94% | — | $8 – $235 |
| 11 | Humana humana medicare advantage fee schedule · both | $121 | $121 | $114 | 94% | — | $8 – $235 |
| 12 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 13 | Cigna mvp hmo/ppo fee schedule · both | $171 | $171 | $160 | 94% | — | $11 – $331 |
| 14 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $182 | $182 | $171 | 94% | — | $11 – $353 |
| 15 | Humana humana military percent of total billed charges · bothfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 16 | Tricare humana military percent of total billed charges · bothfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 17 | UnitedHealthcare uhc commercial fee schedule · outpatient | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 18 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 19 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.4k | $876 | 16% | 3–30 | $4.6k – $6.6k |
| 20 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $7.4k | $7.4k | — | — | 15 | $7.4k – $7.4k |
| 21 | Humana humana military other · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 22 | Tricare humana military other · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 23 | Excellus excellus bcbs medicare advantage other · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 24 | Humana humana medicare advantage other · outpatient | $16.0k | $16.0k | — | — | 1–10 | $16.0k – $16.0k |
| 25 | Medicare medicare other · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
Last updated: Aug 7, 2026
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