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 Sar-Cov-2, Igg
Utica, NY
See all hospitals reporting CPT 86769 →Price type
MVHS, Inc.’s median price of $42 is 12% below the median hospital's median price ($48), higher than 10% of the 2,482 hospitals reporting CPT 86769. 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, 30 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 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Blue Cross Blue Shield excellus bcbs hmo/ppo fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Excellus excellus bcbs hmo/ppo fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Excellus excellus bcbs medicare advantage fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 10 | Humana humana medicare advantage fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 11 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 12 | Medicare medicare fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 13 | Optum vaccn optum fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 14 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 15 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 16 | Aetna aetna medicare advantage fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 17 | Humana humana military fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 18 | Tricare humana military fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 19 | WellCare wellcare medicare advantage fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 20 | UnitedHealthcare uhc commercial fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 21 | Cigna mvp and cigna commercial fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 22 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $144 | $144 | $1 | 1% | — | $142 – $145 |
| 23 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $157 | $157 | $1 | 1% | — | $155 – $158 |
| 24 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $164 | $164 | $1 | 1% | — | $163 – $165 |
| 25 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges | $164 | $164 | $1 | 1% | — | $163 – $165 |
Last updated: Aug 7, 2026
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