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
Hep a 90633 Admn Medicaid
Utica, NY
See all hospitals reporting CPT 90633 →Price type
MVHS, Inc.’s median price of $27 is 59% below the median hospital's median price ($65), higher than 7% of the 1,686 hospitals reporting CPT 90633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 medicare advantage percent of total billed charges · bothfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 2 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Humana humana military percent of total billed charges · bothfrom % of charges | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 6 | Humana humana military percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 7 | Tricare humana military percent of total billed charges · bothfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Tricare humana military percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | 50 | $28 – $28 |
| 9 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 10 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Humana choicecare fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 13 | Humana humana medicare advantage fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Bcbs Ny excellus bcbs commercial fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 15 | Blue Cross Blue Shield excellus bcbs commercial fee schedule · both | $41 | $41 | — | — | 2–20 | $41 – $41 |
| 16 | Excellus excellus bcbs commercial fee schedule · both | $41 | $41 | — | — | 26–53 | $41 – $41 |
| 17 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 18 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 20 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 21 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 22 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
Last updated: Aug 7, 2026
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