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
Cld Tx Rad Shft Fx W/Mani
Utica, NY
See all hospitals reporting CPT 25505 →Price type
MVHS, Inc.’s median price of $69 is 96% below the median hospital's median price ($1.7k), higher than 0% of the 2,078 hospitals reporting CPT 25505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 29 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 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 3 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $481 | $481 | — | — | — | $481 – $481 |
| 6 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $711 | $711 | — | — | — | $711 – $711 |
| 7 | Bcbs Ny excellus bcbs indemnity case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 9 | Excellus excellus bcbs hmo/ppo case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 10 | Excellus excellus bcbs indemnity case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 11 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Humana humana military other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Tricare humana military other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Excellus excellus bcbs medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Humana humana medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Medicare medicare other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | Optum vaccn optum other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | UnitedHealthcare uhc medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Aug 7, 2026
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