CT abdomen without and 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 Abdomen W&W/O Contrast

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $257 is 49% below the median hospital's median price ($500), higher than 24% of the 2,678 hospitals reporting CPT 74170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74170 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	$200	$200	—	—	—	$200 – $200
2	Tricare humana military other · outpatient	$200	$200	—	—	—	$200 – $200
3	Excellus excellus bcbs medicare advantage other · outpatient	$219	$219	—	—	1–10	$219 – $219
4	Humana humana medicare advantage other · outpatient	$219	$219	—	—	—	$219 – $219
5	Medicare medicare other · outpatient	$219	$219	—	—	1–10	$219 – $219
6	Optum vaccn optum other · outpatient	$219	$219	—	—	1–10	$219 – $219
7	UnitedHealthcare uhc medicare advantage other · outpatient	$221	$221	—	—	1–10	$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	$478	$478	—	—	—	$478 – $478
17	Cigna mvp and cigna commercial other · outpatient	$629	$629	—	—	—	$629 – $629
18	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	UnitedHealthcare uhc commercial case rate · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
21	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
22	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k
23	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
24	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	2–20	$3.0k – $3.0k
25	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$3.0k	$3.0k	—	—	18	$3.0k – $3.0k

Page 1 of 2 · 28 rates

Last updated: Aug 7, 2026

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