Liver imaging, static scan only 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 Liver Image; Static Only

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $634 is 2% above the median hospital's median price ($620), higher than 52% of the 1,747 hospitals reporting CPT 78201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 78201 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 27 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	$40	$40	—	—	—	$40 – $40
2	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
3	Molina misc medicaid mco fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
4	UnitedHealthcare uhc essential plan fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
5	UnitedHealthcare uhc medicaid fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
6	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
7	UnitedHealthcare uhc empire plan fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
8	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$347	$347	—	—	—	$347 – $347
9	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$517	$517	—	—	—	$517 – $517
10	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$564	$564	—	—	—	$564 – $564
11	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$591	$591	—	—	—	$591 – $591
12	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$591	$591	—	—	—	$591 – $591
13	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$591	$591	—	—	—	$591 – $591
14	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$591	$591	—	—	—	$591 – $591
15	Humana humana military other · outpatient	$605	$605	—	—	—	$605 – $605
16	Tricare humana military other · outpatient	$605	$605	—	—	—	$605 – $605
17	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$615	$615	—	—	—	$615 – $615
18	UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges	$634	$634	—	—	—	$634 – $634
19	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$651	$651	—	—	—	$651 – $651
20	Excellus excellus bcbs medicare advantage other · outpatient	$678	$678	—	—	—	$678 – $678
21	Humana humana medicare advantage other · outpatient	$678	$678	—	—	—	$678 – $678
22	Medicare medicare other · outpatient	$678	$678	—	—	—	$678 – $678
23	Optum vaccn optum other · outpatient	$678	$678	—	—	—	$678 – $678
24	UnitedHealthcare uhc medicare advantage other · outpatient	$685	$685	—	—	—	$685 – $685
25	Aetna aetna medicare advantage other · outpatient	$691	$691	—	—	—	$691 – $691

Page 1 of 2 · 27 rates

Last updated: Aug 7, 2026

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