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
HC Place Rt Device/Marker Pros
Utica, NY
See all hospitals reporting CPT 55876 →Price type
MVHS, Inc.’s median price of $1.6k is about the same as the median hospital's median price ($1.6k), higher than 50% of the 1,866 hospitals reporting CPT 55876. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 32 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 | WellCare wellcare fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 2 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Humana humana military fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 4 | Tricare humana military fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 5 | Humana choicecare fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 6 | Humana humana medicare advantage fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 7 | Medicare medicare fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Cigna mvp hmo/ppo fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 10 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 11 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $486 | $486 | — | — | — | $486 – $486 |
| 12 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $735 | $735 | — | — | — | $735 – $735 |
| 13 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Humana humana military other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Tricare humana military other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Excellus excellus bcbs medicare advantage other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Humana humana medicare advantage other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Medicare medicare other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Aug 7, 2026
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