Utica, NY
See all hospitals reporting CPT 28715 →Price type
MVHS, Inc.’s median price of $20 is 100% below the median hospital's median price ($11.9k), higher than 0% of the 1,727 hospitals reporting CPT 28715. 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, 15 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 empire plan fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 4 | UnitedHealthcare uhc commercial fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 5 | Humana humana military other · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 6 | Tricare humana military other · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 7 | Excellus excellus bcbs medicare advantage other · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 8 | Humana humana medicare advantage other · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 9 | Medicare medicare other · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 10 | Optum vaccn optum other · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 11 | UnitedHealthcare uhc medicare advantage other · outpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 12 | Aetna aetna medicare advantage other · outpatient | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 13 | WellCare wellcare medicare advantage other · outpatient | $16.5k | $16.5k | — | — | — | $16.5k – $16.5k |
| 14 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $32.0k | $32.0k | — | — | 1–10 | $32.0k – $32.0k |
| 15 | Cigna mvp and cigna commercial other · outpatient | $46.0k | $46.0k | — | — | — | $46.0k – $46.0k |
Last updated: Aug 7, 2026
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