Abdominal aortogram with runoff imaging 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 Aorto-Illiac Run Off Bi

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $203 is 94% below the median hospital's median price ($3.2k), higher than 11% of the 2,147 hospitals reporting CPT 75630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75630 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 41 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	$43	$43	—	—	—	$43 – $43
2	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$71	$71	—	—	—	$71 – $71
3	Humana humana military percent of total billed charges · inpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
4	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
5	Excellus excellus bcbs medicaid fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
6	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
7	Molina misc medicaid mco fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
8	UnitedHealthcare uhc essential plan fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
9	UnitedHealthcare uhc medicaid fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
10	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
11	Humana choicecare fee schedule · both	$116	$116	$29	25%	—	$87 – $145
12	Humana humana medicare advantage fee schedule · both	$116	$116	$29	25%	—	$87 – $145
13	Aetna aetna medicare advantage fee schedule · both	$119	$119	$31	26%	—	$88 – $149
14	Medicare medicare fee schedule · both	$119	$119	$31	26%	—	$88 – $149
15	Humana humana military percent of total billed charges · bothfrom % of charges	$122	$122	—	—	—	$122 – $122
16	Tricare humana military percent of total billed charges · bothfrom % of charges	$122	$122	—	—	—	$122 – $122
17	WellCare wellcare fee schedule · both	$122	$122	$31	26%	—	$91 – $154
18	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$162	$162	$41	25%	—	$122 – $203
19	Cigna mvp hmo/ppo fee schedule · both	$163	$163	$41	25%	—	$122 – $203
20	UnitedHealthcare uhc empire plan fee schedule · outpatient	$705	$705	—	—	—	$705 – $705
21	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
23	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
24	Humana humana military other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
25	Tricare humana military other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k

Page 1 of 2 · 41 rates

Last updated: Aug 7, 2026

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