Voiding cystourethrogram X-ray 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 Cystogram-Voiding

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 $298 is 6% below the median hospital's median price ($316), higher than 45% of the 2,379 hospitals reporting CPT 74455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74455 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 27 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	$35	$35	—	—	—	$35 – $35
2	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
3	Molina misc medicaid mco fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
4	UnitedHealthcare uhc essential plan fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
5	UnitedHealthcare uhc medicaid fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
7	UnitedHealthcare uhc empire plan fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
8	Humana humana military other · outpatient	$272	$272	—	—	—	$272 – $272
9	Tricare humana military other · outpatient	$272	$272	—	—	—	$272 – $272
10	Excellus excellus bcbs medicare advantage other · outpatient	$298	$298	—	—	—	$298 – $298
11	Humana humana medicare advantage other · outpatient	$298	$298	—	—	—	$298 – $298
12	Medicare medicare other · outpatient	$298	$298	—	—	1–10	$298 – $298
13	Optum vaccn optum other · outpatient	$298	$298	—	—	—	$298 – $298
14	UnitedHealthcare uhc medicare advantage other · outpatient	$301	$301	—	—	—	$301 – $301
15	Aetna aetna medicare advantage other · outpatient	$304	$304	—	—	—	$304 – $304
16	WellCare wellcare medicare advantage other · outpatient	$307	$307	—	—	—	$307 – $307
17	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$714	$714	—	—	—	$714 – $714
18	Cigna mvp and cigna commercial other · outpatient	$856	$856	—	—	—	$856 – $856
19	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
21	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Page 1 of 2 · 27 rates

Last updated: Aug 7, 2026

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