CT upper extremity scan with contrast dye 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 Upr Extremity W/Contr-Lt

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 $371 is 39% below the median hospital's median price ($608), higher than 20% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 13 payers, 29 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	$172	$172	—	—	—	$172 – $172
2	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
3	Molina misc medicaid mco fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
4	UnitedHealthcare uhc essential plan fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
5	UnitedHealthcare uhc medicaid fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
6	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
7	UnitedHealthcare uhc empire plan fee schedule · outpatient	$345	$345	—	—	—	$345 – $345
8	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$371	$371	—	—	—	$371 – $371
9	Humana humana military other · outpatient	$401	$401	—	—	—	$401 – $401
10	Tricare humana military other · outpatient	$401	$401	—	—	—	$401 – $401
11	Excellus excellus bcbs medicare advantage other · outpatient	$435	$435	—	—	—	$435 – $435
12	Humana humana medicare advantage other · outpatient	$435	$435	—	—	—	$435 – $435
13	Medicare medicare other · outpatient	$435	$435	—	—	—	$435 – $435
14	Optum vaccn optum other · outpatient	$435	$435	—	—	—	$435 – $435
15	UnitedHealthcare uhc medicare advantage other · outpatient	$440	$440	—	—	3–30	$440 – $440
16	Aetna aetna medicare advantage other · outpatient	$444	$444	—	—	—	$444 – $444
17	WellCare wellcare medicare advantage other · outpatient	$449	$449	—	—	—	$449 – $449
18	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$936	$931	$7	1%	—	$920 – $936
19	Cigna mvp and cigna commercial other · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	$11	1%	—	$1.4k – $1.4k
21	UnitedHealthcare uhc commercial case rate · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$2.1k	$2.1k	$17	1%	—	$2.1k – $2.1k
23	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	$18	1%	—	$2.3k – $2.3k
24	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$2.4k	$2.4k	$19	1%	—	$2.4k – $2.4k
25	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$2.4k	$2.4k	$19	1%	—	$2.4k – $2.4k

Page 1 of 2 · 29 rates

Last updated: Aug 7, 2026

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