Incision and drainage of vulva or perineum 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

HC I&D Abscess Vulva/Peri

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 $380 is 2% below the median hospital's median price ($387), higher than 47% of the 2,373 hospitals reporting CPT 56405. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 56405 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 26 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 · bothfrom % of charges	$49	$49	—	—	—	$49 – $49
2	WellCare wellcare fee schedule · both	$57	$57	—	—	—	$57 – $57
3	Humana humana military fee schedule · both	$64	$64	—	—	—	$64 – $64
4	Tricare humana military fee schedule · both	$64	$64	—	—	—	$64 – $64
5	Humana choicecare fee schedule · both	$68	$68	—	—	—	$68 – $68
6	Humana humana medicare advantage fee schedule · both	$68	$68	—	—	—	$68 – $68
7	Medicare medicare fee schedule · both	$69	$69	—	—	—	$69 – $69
8	UnitedHealthcare uhc commercial per diem · inpatient	$86	$86	—	—	—	$86 – $86
9	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$95	$95	—	—	—	$95 – $95
10	Cigna mvp hmo/ppo fee schedule · both	$97	$97	—	—	—	$97 – $97
11	UnitedHealthcare uhc empire plan fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
12	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$392	$392	—	—	—	$392 – $392
13	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$585	$585	—	—	—	$585 – $585
14	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$638	$638	—	—	—	$638 – $638
15	Bcbs Ny excellus bcbs indemnity percent of total billed charges · inpatientfrom % of charges	$668	$668	—	—	—	$668 – $668
16	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges	$668	$668	—	—	—	$668 – $668
17	Excellus excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges	$668	$668	—	—	—	$668 – $668
18	Excellus excellus bcbs indemnity percent of total billed charges · inpatientfrom % of charges	$668	$668	—	—	—	$668 – $668
19	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$695	$695	—	—	—	$695 – $695
20	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$736	$736	—	—	—	$736 – $736
21	Bcbs Ny excellus bcbs indemnity case rate · outpatient	$852	$852	—	—	—	$852 – $852
22	Blue Cross Blue Shield excellus bcbs hmo/ppo case rate · outpatient	$852	$852	—	—	—	$852 – $852
23	Excellus excellus bcbs hmo/ppo case rate · outpatient	$852	$852	—	—	—	$852 – $852
24	Excellus excellus bcbs indemnity case rate · outpatient	$852	$852	—	—	—	$852 – $852
25	Cigna mvp and cigna commercial other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Page 1 of 2 · 26 rates

Last updated: Aug 7, 2026

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