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
Rpr Diphrg Hrna Oth/Thn Neonatal Traumtc Aqt
Utica, NY
See all hospitals reporting CPT 39540 →Price type
MVHS, Inc.’s median price of $397 is 86% below the median hospital's median price ($2.8k), higher than 0% of the 1,294 hospitals reporting CPT 39540. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 10 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 | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $298 | $298 | — | — | — | $298 – $298 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $298 | $298 | — | — | — | $298 – $298 |
| 4 | Aetna aetna medicare advantage fee schedule · both | $386 | $386 | — | — | — | $386 – $386 |
| 5 | Medicare medicare fee schedule · both | $386 | $386 | — | — | — | $386 – $386 |
| 6 | WellCare wellcare fee schedule · both | $397 | $397 | — | — | — | $397 – $397 |
| 7 | Humana choicecare fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 8 | Humana humana medicare advantage fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 9 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $496 | $496 | — | — | — | $496 – $496 |
| 10 | Cigna mvp hmo/ppo fee schedule · both | $563 | $563 | — | — | — | $563 – $563 |
Last updated: Aug 7, 2026
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