Anal fistula surgery with fistulotomy or seton placement at MVHS, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Tx Anal Fstl Trans/Supra/Xtrasphnctrc Incl Seton

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $19 is 99% below the median hospital's median price ($3.0k), higher than 0% of the 1,860 hospitals reporting CPT 46280. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 46280 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 25 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	$5	$5	—	—	—	$5 – $5
2	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
3	UnitedHealthcare uhc empire plan fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
4	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
5	Humana humana military percent of total billed charges · inpatientfrom % of charges	$196	$196	—	—	—	$196 – $196
6	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$196	$196	—	—	—	$196 – $196
7	Humana choicecare fee schedule · both	$226	$226	—	—	—	$226 – $226
8	Humana humana medicare advantage fee schedule · both	$226	$226	—	—	—	$226 – $226
9	Aetna aetna medicare advantage fee schedule · both	$230	$230	—	—	—	$230 – $230
10	Medicare medicare fee schedule · both	$230	$230	—	—	—	$230 – $230
11	WellCare wellcare fee schedule · both	$237	$237	—	—	—	$237 – $237
12	Cigna mvp hmo/ppo fee schedule · both	$317	$317	—	—	—	$317 – $317
13	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$327	$327	—	—	—	$327 – $327
14	Humana humana military other · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
15	Tricare humana military other · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
16	Excellus excellus bcbs medicare advantage other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
17	Humana humana medicare advantage other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
18	Medicare medicare other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
19	Optum vaccn optum other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
20	UnitedHealthcare uhc medicare advantage other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
21	Aetna aetna medicare advantage other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
22	WellCare wellcare medicare advantage other · outpatient	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k
23	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$4.8k	$4.8k	—	—	1–10	$4.8k – $4.8k
24	UnitedHealthcare uhc commercial fee schedule · outpatient	$6.2k	$6.2k	—	—	—	$6.2k – $6.2k
25	Cigna mvp and cigna commercial other · outpatient	$10.0k	$10.0k	—	—	1–10	$10.0k – $10.0k

Last updated: Aug 7, 2026

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