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 Angio Pelic Selectiv/Suprasel
Utica, NY
See all hospitals reporting CPT 75736 →Price type
MVHS, Inc.’s median price of $188 is 96% below the median hospital's median price ($5.2k), higher than 10% of the 2,058 hospitals reporting CPT 75736. 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, 40 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 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 5 | Excellus excellus bcbs medicaid fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 7 | Molina misc medicaid mco fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 8 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 9 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 10 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 11 | Humana choicecare fee schedule · both | $91 | $91 | $43 | 47% | — | $48 – $134 |
| 12 | Humana humana medicare advantage fee schedule · both | $91 | $91 | $43 | 47% | — | $48 – $134 |
| 13 | Aetna aetna medicare advantage fee schedule · both | $93 | $93 | $44 | 47% | — | $49 – $137 |
| 14 | Medicare medicare fee schedule · both | $93 | $93 | $44 | 47% | — | $49 – $137 |
| 15 | WellCare wellcare fee schedule · both | $96 | $96 | $45 | 48% | — | $50 – $141 |
| 16 | Humana humana military percent of total billed charges · bothfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 17 | Tricare humana military percent of total billed charges · bothfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 18 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $128 | $128 | $60 | 47% | — | $68 – $188 |
| 19 | Cigna mvp hmo/ppo fee schedule · both | $128 | $128 | $60 | 47% | — | $68 – $188 |
| 20 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 21 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 24 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 25 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Aug 7, 2026
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