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 Arc Ab ID Ea Panel 4-11
Utica, NY
See all hospitals reporting CPT 86870 →Price type
MVHS, Inc.’s median price of $357 is 14% above the median hospital's median price ($312), higher than 63% of the 2,626 hospitals reporting CPT 86870. 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, 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 | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $28 | $28 | $6 | 22% | — | $22 – $35 |
| 8 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $64 | $64 | $14 | 22% | 2–20 | $49 – $78 |
| 9 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $70 | $70 | $16 | 22% | — | $54 – $85 |
| 10 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $73 | $73 | $16 | 22% | 2–20 | $57 – $89 |
| 11 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $73 | $73 | $16 | 22% | 4–40 | $57 – $89 |
| 12 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $73 | $73 | $16 | 22% | 2–20 | $57 – $89 |
| 13 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $73 | $73 | $16 | 22% | 24 | $57 – $89 |
| 14 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $76 | $76 | $17 | 22% | — | $59 – $93 |
| 15 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $80 | $80 | $18 | 22% | — | $62 – $98 |
| 16 | UnitedHealthcare uhc commercial fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 17 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 18 | Humana humana military other · outpatient | $404 | $404 | — | — | — | $404 – $404 |
| 19 | Tricare humana military other · outpatient | $404 | $404 | — | — | — | $404 – $404 |
| 20 | Excellus excellus bcbs medicare advantage other · outpatient | $447 | $447 | — | — | 2–20 | $447 – $447 |
| 21 | Humana humana medicare advantage other · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 22 | Medicare medicare other · outpatient | $447 | $447 | — | — | 90 | $447 – $447 |
| 23 | Optum vaccn optum other · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 24 | UnitedHealthcare uhc medicare advantage other · outpatient | $452 | $452 | — | — | 34 | $452 – $452 |
| 25 | Aetna aetna medicare advantage other · outpatient | $456 | $456 | — | — | — | $456 – $456 |
Last updated: Aug 7, 2026
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