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 Knee Comp-Min 4 View-50
Utica, NY
See all hospitals reporting CPT 73564 →Price type
MVHS, Inc.’s median price of $131 is 16% below the median hospital's median price ($156), higher than 39% of the 2,635 hospitals reporting CPT 73564. 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 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 7 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Humana humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 9 | Tricare humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 10 | Excellus excellus bcbs medicare advantage other · outpatient | $124 | $124 | $7 | 5% | — | $117 – $131 |
| 11 | Humana humana medicare advantage other · outpatient | $124 | $124 | $7 | 5% | — | $117 – $131 |
| 12 | Medicare medicare other · outpatient | $124 | $124 | $7 | 5% | — | $117 – $131 |
| 13 | Optum vaccn optum other · outpatient | $124 | $124 | $7 | 5% | — | $117 – $131 |
| 14 | UnitedHealthcare uhc medicare advantage other · outpatient | $125 | $125 | $7 | 5% | — | $119 – $132 |
| 15 | Aetna aetna medicare advantage other · outpatient | $126 | $126 | $7 | 5% | — | $120 – $133 |
| 16 | WellCare wellcare medicare advantage other · outpatient | $128 | $128 | $7 | 5% | — | $121 – $134 |
| 17 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $193 | $192 | $1 | 1% | — | $190 – $193 |
| 18 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $292 | $291 | $2 | 1% | — | $288 – $292 |
| 19 | Cigna mvp and cigna commercial other · outpatient | $356 | $356 | $19 | 5% | — | $337 – $375 |
| 20 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $436 | $433 | $3 | 1% | — | $429 – $436 |
| 21 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $475 | $473 | $4 | 1% | — | $467 – $475 |
| 22 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $498 | $495 | $4 | 1% | — | $490 – $498 |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $498 | $495 | $4 | 1% | — | $490 – $498 |
| 24 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $498 | $495 | $4 | 1% | — | $490 – $498 |
| 25 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $498 | $495 | $4 | 1% | — | $490 – $498 |
Last updated: Aug 7, 2026
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