CT scan of pelvis without contrast 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 CT Pelvis W/O Contrast

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 $141 is 56% below the median hospital's median price ($324), higher than 21% of the 2,708 hospitals reporting CPT 72192. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72192 at MVHS, Inc.

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	Humana humana military other · outpatient	$120	$120	—	—	—	$120 – $120
2	Tricare humana military other · outpatient	$120	$120	—	—	—	$120 – $120
3	Excellus excellus bcbs medicare advantage other · outpatient	$131	$131	—	—	1–10	$131 – $131
4	Humana humana medicare advantage other · outpatient	$131	$131	—	—	—	$131 – $131
5	Medicare medicare other · outpatient	$131	$131	—	—	1–10	$131 – $131
6	Optum vaccn optum other · outpatient	$131	$131	—	—	—	$131 – $131
7	UnitedHealthcare uhc medicare advantage other · outpatient	$132	$132	—	—	1–10	$132 – $132
8	Aetna aetna medicare advantage other · outpatient	$133	$133	—	—	—	$133 – $133
9	WellCare wellcare medicare advantage other · outpatient	$134	$134	—	—	—	$134 – $134
10	Excellus excellus bcbs medicaid fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
11	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
12	Molina misc medicaid mco fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
13	UnitedHealthcare uhc essential plan fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
14	UnitedHealthcare uhc medicaid fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
15	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
16	UnitedHealthcare uhc empire plan fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
17	Cigna mvp and cigna commercial other · outpatient	$375	$375	—	—	—	$375 – $375
18	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$898	$898	—	—	—	$898 – $898
19	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	UnitedHealthcare uhc commercial case rate · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
22	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
23	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
24	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$2.3k	$2.3k	—	—	2–20	$2.3k – $2.3k
25	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$2.3k	$2.3k	—	—	1–10	$2.3k – $2.3k

Page 1 of 2 · 28 rates

Last updated: Aug 7, 2026

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