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 Rp Loc Tum Spect 1 Area Sngl Day Imaging
Utica, NY
See all hospitals reporting CPT 78803 →Price type
MVHS, Inc.’s median price of $691 is 43% below the median hospital's median price ($1.2k), higher than 28% of the 2,354 hospitals reporting CPT 78803. 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 | $116 | $116 | — | — | — | $116 – $116 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 7 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 8 | Excellus excellus bcbs medicare advantage other · outpatient | $678 | $678 | — | — | 1–10 | $678 – $678 |
| 9 | Humana humana medicare advantage other · outpatient | $678 | $678 | — | — | — | $678 – $678 |
| 10 | Medicare medicare other · outpatient | $678 | $678 | — | — | 1–10 | $678 – $678 |
| 11 | Optum vaccn optum other · outpatient | $678 | $678 | — | — | — | $678 – $678 |
| 12 | UnitedHealthcare uhc medicare advantage other · outpatient | $685 | $685 | — | — | 1–10 | $685 – $685 |
| 13 | Aetna aetna medicare advantage other · outpatient | $691 | $691 | — | — | — | $691 – $691 |
| 14 | WellCare wellcare medicare advantage other · outpatient | $698 | $698 | — | — | 1–10 | $698 – $698 |
| 15 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Humana humana military other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Tricare humana military other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Cigna mvp and cigna commercial other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 22 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 25 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Aug 7, 2026
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