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 Breast Complete-Lt
Utica, NY
See all hospitals reporting CPT 76641 →Price type
MVHS, Inc.’s median price of $139 is 28% below the median hospital's median price ($193), higher than 30% of the 2,485 hospitals reporting CPT 76641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 51 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 | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 7 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $44 | $45 | $18 | 40% | — | $23 – $67 |
| 8 | Humana humana military percent of total billed charges · bothfrom % of charges | $58 | $58 | $18 | 31% | — | $40 – $76 |
| 9 | Tricare humana military percent of total billed charges · bothfrom % of charges | $58 | $58 | $18 | 31% | — | $40 – $76 |
| 10 | Humana choicecare fee schedule · inpatient | $62 | $62 | — | — | — | $62 – $62 |
| 11 | Humana humana medicare advantage fee schedule · inpatient | $62 | $62 | — | — | — | $62 – $62 |
| 12 | Medicare medicare fee schedule · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 13 | Humana choicecare fee schedule · both | $62 | $63 | $25 | 40% | — | $33 – $95 |
| 14 | Humana humana medicare advantage fee schedule · both | $62 | $63 | $25 | 40% | — | $33 – $95 |
| 15 | Medicare medicare fee schedule · both | $63 | $64 | $26 | 40% | — | $33 – $96 |
| 16 | WellCare wellcare fee schedule · inpatient | $65 | $65 | — | — | — | $65 – $65 |
| 17 | WellCare wellcare fee schedule · both | $65 | $66 | $27 | 40% | — | $34 – $99 |
| 18 | Blue Cross Blue Shield excellus bcbs federal fee schedule · inpatient | $87 | $87 | — | — | — | $87 – $87 |
| 19 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $87 | $88 | $35 | 40% | — | $46 – $133 |
| 20 | Cigna mvp hmo/ppo fee schedule · inpatient | $89 | $89 | — | — | — | $89 – $89 |
| 21 | Cigna mvp hmo/ppo fee schedule · both | $89 | $90 | $36 | 40% | — | $46 – $135 |
| 22 | Humana humana military fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 23 | Tricare humana military fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 24 | Humana choicecare fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 25 | Humana humana medicare advantage fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
Last updated: Aug 7, 2026
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