CT scan of upper arm without and with 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 Upper Extremity W/WO Contrast - Rt

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $446 is 13% below the median hospital's median price ($511), higher than 46% of the 2,422 hospitals reporting CPT 73202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73202 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	Humana humana military other · outpatient	$200	$200	—	—	—	$200 – $200
2	Tricare humana military other · outpatient	$200	$200	—	—	—	$200 – $200
3	Excellus excellus bcbs medicare advantage other · outpatient	$219	$219	—	—	—	$219 – $219
4	Humana humana medicare advantage other · outpatient	$219	$219	—	—	—	$219 – $219
5	Medicare medicare other · outpatient	$219	$219	—	—	—	$219 – $219
6	Optum vaccn optum other · outpatient	$219	$219	—	—	—	$219 – $219
7	UnitedHealthcare uhc medicare advantage other · outpatient	$221	$221	—	—	—	$221 – $221
8	Aetna aetna medicare advantage other · outpatient	$223	$223	—	—	—	$223 – $223
9	WellCare wellcare medicare advantage other · outpatient	$226	$226	—	—	—	$226 – $226
10	Excellus excellus bcbs medicaid fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
11	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
12	Molina misc medicaid mco fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
13	UnitedHealthcare uhc essential plan fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
14	UnitedHealthcare uhc medicaid fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
15	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
16	UnitedHealthcare uhc empire plan fee schedule · outpatient	$418	$418	—	—	—	$418 – $418
17	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$446	$446	—	—	—	$446 – $446
18	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$331	$523	$272	52%	—	$331 – $908
19	Cigna mvp and cigna commercial other · outpatient	$629	$629	—	—	—	$629 – $629
20	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$500	$792	$412	52%	—	$500 – $1.4k
21	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$746	$1.2k	$614	52%	—	$746 – $2.0k
22	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$813	$1.3k	$670	52%	—	$813 – $2.2k
23	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$852	$1.3k	$702	52%	—	$852 – $2.3k
24	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$852	$1.3k	$702	52%	—	$852 – $2.3k
25	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$852	$1.3k	$702	52%	—	$852 – $2.3k

Page 1 of 2 · 29 rates

Last updated: Aug 7, 2026

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