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 Xr Ls Spine Min 4 View
Utica, NY
See all hospitals reporting CPT 72110 →Price type
MVHS, Inc.’s median price of $131 is 19% below the median hospital's median price ($161), higher than 36% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 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 | $30.30 | $30.30 | $30.30 – $30.30 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $30.30 | $30.30 | $30.30 – $30.30 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $30.30 | $30.30 | $30.30 – $30.30 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $30.30 | $30.30 | $30.30 – $30.30 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $30.30 | $30.30 | $30.30 – $30.30 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $30.30 | $30.30 | $30.30 – $30.30 |
| 7 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $62.00 | $62.00 | $62.00 – $62.00 |
| 8 | Humana humana military other · outpatient | $119.55 | $119.55 | $119.55 – $119.55 |
| 9 | Tricare humana military other · outpatient | $119.55 | $119.55 | $119.55 – $119.55 |
| 10 | Excellus excellus bcbs medicare advantage other · outpatient | $123.98 | $123.98 | $117.45 – $130.50 |
| 11 | Humana humana medicare advantage other · outpatient | $123.98 | $123.98 | $117.45 – $130.50 |
| 12 | Medicare medicare other · outpatient | $123.98 | $123.98 | $117.45 – $130.50 |
| 13 | Optum vaccn optum other · outpatient | $123.98 | $123.98 | $117.45 – $130.50 |
| 14 | UnitedHealthcare uhc medicare advantage other · outpatient | $125.22 | $125.22 | $118.63 – $131.81 |
| 15 | Aetna aetna medicare advantage other · outpatient | $126.46 | $126.46 | $119.80 – $133.11 |
| 16 | WellCare wellcare medicare advantage other · outpatient | $127.70 | $127.70 | $120.98 – $134.42 |
| 17 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $304.21 | $304.21 | $304.21 – $304.21 |
| 18 | Cigna mvp and cigna commercial other · outpatient | $356.21 | $356.21 | $337.47 – $374.95 |
| 19 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $460.40 | $460.40 | $460.40 – $460.40 |
| 20 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $686.00 | $686.00 | $686.00 – $686.00 |
| 21 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $748.15 | $748.15 | $748.15 – $748.15 |
| 22 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $783.83 | $783.83 | $783.83 – $783.83 |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $783.83 | $783.83 | $783.83 – $783.83 |
| 24 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $783.83 | $783.83 | $783.83 – $783.83 |
| 25 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $783.83 | $783.83 | $783.83 – $783.83 |
Last updated: Aug 7, 2026
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