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 Hepatitis B Dna by Pcr Qu
Utica, NY
See all hospitals reporting CPT 87517 →Price type
MVHS, Inc.’s median price of $51 is 26% below the median hospital's median price ($70), higher than 35% of the 2,575 hospitals reporting CPT 87517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 21 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 medicare advantage fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Humana humana medicare advantage fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Medicare medicare fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Optum vaccn optum fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Aetna aetna medicare advantage fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 7 | Humana humana military fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 8 | Tricare humana military fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 9 | WellCare wellcare medicare advantage fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | UnitedHealthcare uhc commercial fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 11 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 12 | Cigna mvp and cigna commercial fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 13 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $218 | $218 | — | — | 1–10 | $218 – $218 |
| 14 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 15 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $535 | $535 | — | — | — | $535 – $535 |
| 16 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $560 | $560 | — | — | — | $560 – $560 |
| 17 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $560 | $560 | — | — | — | $560 – $560 |
| 18 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $560 | $560 | — | — | 12 | $560 – $560 |
| 19 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $560 | $560 | — | — | — | $560 – $560 |
| 20 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 21 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $617 | $617 | — | — | — | $617 – $617 |
Last updated: Aug 7, 2026
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