Cystoscopy to remove bladder clots 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

Cysto W/Irrig & Evac Multple Obstructing Clots

Utica, NY

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Pricing by billing methodology

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How this price compares nationally

MVHS, Inc.’s median price of $208 is 94% below the median hospital's median price ($3.5k), higher than 1% of the 1,918 hospitals reporting CPT 52001. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 52001 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 36 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	$32	$32	—	—	—	$32 – $32
2	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
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	$96	$96	$36	37%	—	$61 – $132
6	Aetna aetna medicare advantage fee schedule · both	$122	$122	—	—	—	$122 – $122
7	Medicare medicare fee schedule · both	$122	$122	—	—	—	$122 – $122
8	WellCare wellcare fee schedule · both	$125	$125	—	—	—	$125 – $125
9	Humana humana military fee schedule · inpatient	$126	$126	—	—	—	$126 – $126
10	Tricare humana military fee schedule · inpatient	$126	$126	—	—	—	$126 – $126
11	Humana choicecare fee schedule · both	$133	$133	—	—	—	$133 – $133
12	Humana humana medicare advantage fee schedule · both	$133	$133	—	—	—	$133 – $133
13	Cigna mvp hmo/ppo fee schedule · both	$187	$187	—	—	—	$187 – $187
14	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
15	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$226	$226	—	—	—	$226 – $226
16	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
17	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
18	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k
19	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
20	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
21	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
22	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
23	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
24	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
25	WellCare hb mvhs wellcare medicaid case rate · outpatient	$5.5k	$5.5k	—	—	—	$5.5k – $5.5k

Page 1 of 2 · 36 rates

Last updated: Aug 7, 2026

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