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 Resp. Virus 12-25 Targets
Utica, NY
See all hospitals reporting CPT 87633 →Price type
MVHS, Inc.’s median price of $1.0k is 118% above the median hospital's median price ($475), higher than 89% of the 2,357 hospitals reporting CPT 87633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | UnitedHealthcare uhc commercial fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $905 | $905 | — | — | — | $905 – $905 |
| 3 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $987 | $987 | — | — | — | $987 – $987 |
| 4 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Cigna mvp and cigna commercial fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Aug 7, 2026
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