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
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra
Utica, NY
See all hospitals reporting CPT 63688 →Price type
MVHS, Inc.’s median price of $13 is 100% below the median hospital's median price ($3.6k), higher than 0% of the 1,803 hospitals reporting CPT 63688. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 15 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Humana humana military other · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 5 | Tricare humana military other · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 6 | Excellus excellus bcbs medicare advantage other · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | Humana humana medicare advantage other · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 8 | Medicare medicare other · outpatient | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 9 | Optum vaccn optum other · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 10 | UnitedHealthcare uhc medicare advantage other · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 11 | Aetna aetna medicare advantage other · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 12 | WellCare wellcare medicare advantage other · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 13 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 14 | UnitedHealthcare uhc commercial fee schedule · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 15 | Cigna mvp and cigna commercial other · outpatient | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
Last updated: Aug 7, 2026
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