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 US Chest
Utica, NY
See all hospitals reporting CPT 76604 →Price type
MVHS, Inc.’s median price of $76 is 57% below the median hospital's median price ($175), higher than 7% of the 2,632 hospitals reporting CPT 76604. 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, 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 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Excellus excellus bcbs medicaid fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Molina misc medicaid mco fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 7 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 8 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 9 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 10 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 11 | Humana choicecare fee schedule · both | $40 | $40 | $14 | 36% | — | $26 – $54 |
| 12 | Humana humana medicare advantage fee schedule · both | $40 | $40 | $14 | 36% | — | $26 – $54 |
| 13 | Aetna aetna medicare advantage fee schedule · both | $43 | $43 | $16 | 37% | — | $27 – $59 |
| 14 | Medicare medicare fee schedule · both | $43 | $43 | $16 | 37% | — | $27 – $59 |
| 15 | WellCare wellcare fee schedule · both | $44 | $44 | $16 | 37% | — | $28 – $60 |
| 16 | Humana humana military percent of total billed charges · bothfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 17 | Tricare humana military percent of total billed charges · bothfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 18 | Cigna mvp hmo/ppo fee schedule · both | $56 | $56 | $20 | 35% | — | $36 – $75 |
| 19 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $56 | $56 | $20 | 36% | — | $36 – $76 |
| 20 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 21 | Humana humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 22 | Tricare humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 23 | Excellus excellus bcbs medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 24 | Humana humana medicare advantage other · outpatient | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 25 | Medicare medicare other · outpatient | $131 | $131 | — | — | 1–10 | $131 – $131 |
Last updated: Aug 7, 2026
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