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 Extremity Lmtd -Lt
Utica, NY
See all hospitals reporting CPT 76882 →Price type
MVHS, Inc.’s median price of $131 is 14% below the median hospital's median price ($152), higher than 40% of the 2,638 hospitals reporting CPT 76882. 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, 28 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 | $8 | $8 | $2 | 25% | — | $6 – $10 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $8 | $8 | $2 | 25% | — | $6 – $10 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $8 | $8 | $2 | 25% | — | $6 – $10 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $8 | $8 | $2 | 25% | — | $6 – $10 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $8 | $8 | $2 | 25% | — | $6 – $10 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $8 | $8 | $2 | 25% | — | $6 – $10 |
| 7 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Humana humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 9 | Tricare humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 10 | Excellus excellus bcbs medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 11 | Humana humana medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 12 | Medicare medicare other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 13 | Optum vaccn optum other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 14 | UnitedHealthcare uhc medicare advantage other · outpatient | $132 | $132 | — | — | 3–30 | $132 – $132 |
| 15 | Aetna aetna medicare advantage other · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 16 | WellCare wellcare medicare advantage other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 17 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $172 | $172 | $1 | 1% | — | $170 – $172 |
| 18 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $261 | $260 | $2 | 1% | — | $257 – $261 |
| 19 | Cigna mvp and cigna commercial other · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 20 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $389 | $387 | $3 | 1% | — | $383 – $389 |
| 21 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $424 | $422 | $3 | 1% | — | $418 – $424 |
| 22 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $444 | $442 | $3 | 1% | — | $438 – $444 |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $444 | $442 | $3 | 1% | — | $438 – $444 |
| 24 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $444 | $442 | $3 | 1% | — | $438 – $444 |
| 25 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $444 | $442 | $3 | 1% | — | $438 – $444 |
Last updated: Aug 7, 2026
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