Kidney stone removal through the back with tube 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

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $81 is 99% below the median hospital's median price ($9.2k), higher than 0% of the 1,816 hospitals reporting CPT 50081. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 50081 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	UnitedHealthcare uhc empire plan fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
3	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
4	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$312	$312	—	—	—	$312 – $312
5	Aetna aetna medicare advantage fee schedule · both	$482	$482	—	—	—	$482 – $482
6	Medicare medicare fee schedule · both	$482	$482	—	—	—	$482 – $482
7	WellCare wellcare fee schedule · both	$497	$497	—	—	—	$497 – $497
8	Humana humana military fee schedule · inpatient	$498	$498	—	—	—	$498 – $498
9	Tricare humana military fee schedule · inpatient	$498	$498	—	—	—	$498 – $498
10	Humana choicecare fee schedule · both	$524	$524	—	—	—	$524 – $524
11	Humana humana medicare advantage fee schedule · both	$524	$524	—	—	—	$524 – $524
12	Cigna mvp hmo/ppo fee schedule · both	$738	$738	—	—	—	$738 – $738
13	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$892	$892	—	—	—	$892 – $892
14	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	1–10	$2.0k – $2.0k
15	UnitedHealthcare uhc commercial fee schedule · outpatient	$8.5k	$8.5k	—	—	—	$8.5k – $8.5k
16	Humana humana military other · outpatient	$10.4k	$10.4k	—	—	—	$10.4k – $10.4k
17	Tricare humana military other · outpatient	$10.4k	$10.4k	—	—	—	$10.4k – $10.4k
18	Excellus excellus bcbs medicare advantage other · outpatient	$11.8k	$11.8k	—	—	—	$11.8k – $11.8k
19	Humana humana medicare advantage other · outpatient	$11.8k	$11.8k	—	—	—	$11.8k – $11.8k
20	Medicare medicare other · outpatient	$11.8k	$11.8k	—	—	—	$11.8k – $11.8k
21	Optum vaccn optum other · outpatient	$11.8k	$11.8k	—	—	—	$11.8k – $11.8k
22	UnitedHealthcare uhc medicare advantage other · outpatient	$11.9k	$11.9k	—	—	—	$11.9k – $11.9k
23	Aetna aetna medicare advantage other · outpatient	$12.1k	$12.1k	—	—	—	$12.1k – $12.1k
24	WellCare wellcare medicare advantage other · outpatient	$12.2k	$12.2k	—	—	—	$12.2k – $12.2k
25	Cigna mvp and cigna commercial other · outpatient	$34.0k	$34.0k	—	—	—	$34.0k – $34.0k

Last updated: Aug 7, 2026

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