Spinal myelogram of the lower back 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 Myelography via Lumbar Inject Rs&I Lumbosacral

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $979 is 17% below the median hospital's median price ($1.2k), higher than 39% of the 2,196 hospitals reporting CPT 62304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 62304 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 33 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 · inpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
2	Humana humana military percent of total billed charges · inpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
3	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
4	Aetna aetna medicare advantage fee schedule · both	$49	$49	—	—	—	$49 – $49
5	Medicare medicare fee schedule · both	$49	$49	—	—	—	$49 – $49
6	WellCare wellcare fee schedule · both	$50	$50	—	—	—	$50 – $50
7	Humana choicecare fee schedule · both	$55	$55	—	—	—	$55 – $55
8	Humana humana medicare advantage fee schedule · both	$55	$55	—	—	—	$55 – $55
9	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$75	$75	—	—	—	$75 – $75
10	Cigna mvp hmo/ppo fee schedule · both	$77	$77	—	—	—	$77 – $77
11	UnitedHealthcare uhc empire plan fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
12	Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges	$759	$759	—	—	—	$759 – $759
13	Humana humana military other · outpatient	$888	$888	—	—	—	$888 – $888
14	Tricare humana military other · outpatient	$888	$888	—	—	—	$888 – $888
15	Excellus excellus bcbs medicare advantage other · outpatient	$979	$979	—	—	1–10	$979 – $979
16	Humana humana medicare advantage other · outpatient	$979	$979	—	—	—	$979 – $979
17	Medicare medicare other · outpatient	$979	$979	—	—	1–10	$979 – $979
18	Optum vaccn optum other · outpatient	$979	$979	—	—	—	$979 – $979
19	UnitedHealthcare uhc medicare advantage other · outpatient	$988	$988	—	—	—	$988 – $988
20	Aetna aetna medicare advantage other · outpatient	$998	$998	—	—	—	$998 – $998
21	WellCare wellcare medicare advantage other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
24	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
25	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Page 1 of 2 · 33 rates

Last updated: Aug 7, 2026

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