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
Optx Acromclav Dislc Acute/Chronic W/Fascial Grf
Utica, NY
See all hospitals reporting CPT 23552 →Price type
MVHS, Inc.’s median price of $21 is 100% below the median hospital's median price ($7.3k), higher than 0% of the 1,693 hospitals reporting CPT 23552. 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, 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 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 5 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 6 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 7 | Aetna aetna medicare advantage fee schedule · both | $291 | $291 | — | — | — | $291 – $291 |
| 8 | Medicare medicare fee schedule · both | $291 | $291 | — | — | — | $291 – $291 |
| 9 | WellCare wellcare fee schedule · both | $300 | $300 | — | — | — | $300 – $300 |
| 10 | Humana choicecare fee schedule · both | $306 | $306 | — | — | — | $306 – $306 |
| 11 | Humana humana medicare advantage fee schedule · both | $306 | $306 | — | — | — | $306 – $306 |
| 12 | Cigna mvp hmo/ppo fee schedule · both | $432 | $432 | — | — | — | $432 – $432 |
| 13 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $459 | $459 | — | — | — | $459 – $459 |
| 14 | Humana humana military other · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 15 | Tricare humana military other · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 16 | Excellus excellus bcbs medicare advantage other · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 17 | Humana humana medicare advantage other · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 18 | Medicare medicare other · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 19 | Optum vaccn optum other · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 20 | UnitedHealthcare uhc medicare advantage other · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 21 | Aetna aetna medicare advantage other · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 22 | WellCare wellcare medicare advantage other · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 23 | UnitedHealthcare uhc commercial fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 24 | Cigna mvp and cigna commercial other · outpatient | $26.0k | $26.0k | — | — | — | $26.0k – $26.0k |
Last updated: Aug 7, 2026
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