X-ray of the urinary tract 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 Retro Pyelogram W/or W/O Kub

Utica, NY

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How this price compares nationally

MVHS, Inc.’s median price of $83 is 80% below the median hospital's median price ($406), higher than 6% of the 2,365 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74420 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 26 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	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
2	Humana humana military percent of total billed charges · inpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
3	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
4	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$35	$35	—	—	—	$35 – $35
5	Humana choicecare fee schedule · both	$48	$48	$25	52%	—	$23 – $72
6	Humana humana medicare advantage fee schedule · both	$48	$48	$25	52%	—	$23 – $72
7	Aetna aetna medicare advantage fee schedule · both	$51	$51	$27	53%	—	$24 – $78
8	Medicare medicare fee schedule · both	$51	$51	$27	53%	—	$24 – $78
9	WellCare wellcare fee schedule · both	$52	$52	$28	53%	—	$25 – $80
10	Humana humana military percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
11	Tricare humana military percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
12	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$67	$67	$35	52%	—	$32 – $101
13	Cigna mvp hmo/ppo fee schedule · both	$67	$67	$35	52%	—	$32 – $101
14	UnitedHealthcare uhc empire plan fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
15	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$414	$414	—	—	—	$414 – $414
16	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$627	$627	—	—	—	$627 – $627
17	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$935	$935	—	—	—	$935 – $935
18	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
19	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 26 rates

Last updated: Aug 7, 2026

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