X-ray of jaw, fewer than four views 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 Xr Jaw <4 Views

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 $32 is 72% below the median hospital's median price ($117), higher than 4% of the 2,383 hospitals reporting CPT 70100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70100 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 13 payers, 28 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 fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
2	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
3	Molina misc medicaid mco fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
4	UnitedHealthcare uhc essential plan fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
5	UnitedHealthcare uhc medicaid fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
6	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
7	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
8	UnitedHealthcare uhc empire plan fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
9	Humana humana military other · outpatient	$99	$99	—	—	—	$99 – $99
10	Tricare humana military other · outpatient	$99	$99	—	—	—	$99 – $99
11	Excellus excellus bcbs medicare advantage other · outpatient	$109	$109	—	—	—	$109 – $109
12	Humana humana medicare advantage other · outpatient	$109	$109	—	—	—	$109 – $109
13	Medicare medicare other · outpatient	$109	$109	—	—	—	$109 – $109
14	Optum vaccn optum other · outpatient	$109	$109	—	—	—	$109 – $109
15	UnitedHealthcare uhc medicare advantage other · outpatient	$110	$110	—	—	1–10	$110 – $110
16	Aetna aetna medicare advantage other · outpatient	$111	$111	—	—	—	$111 – $111
17	WellCare wellcare medicare advantage other · outpatient	$112	$112	—	—	—	$112 – $112
18	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$283	$283	—	—	—	$283 – $283
19	Cigna mvp and cigna commercial other · outpatient	$312	$312	—	—	—	$312 – $312
20	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$422	$422	—	—	—	$422 – $422
21	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$460	$460	—	—	—	$460 – $460
22	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$482	$482	—	—	—	$482 – $482
23	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$482	$482	—	—	—	$482 – $482
24	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$482	$482	—	—	—	$482 – $482
25	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$482	$482	—	—	—	$482 – $482

Page 1 of 2 · 28 rates

Last updated: Aug 7, 2026

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