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 Rotovirus 2 Dose Medicaid Admin
Utica, NY
See all hospitals reporting CPT 90681 →Price type
MVHS, Inc.’s median price of $262 is 43% above the median hospital's median price ($183), higher than 70% of the 1,350 hospitals reporting CPT 90681. 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, 15 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 empire plan fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Humana humana military other · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 3 | Tricare humana military other · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 4 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 5 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 6 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 7 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $262 | $262 | — | — | — | $262 – $262 |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $262 | $262 | — | — | — | $262 – $262 |
| 9 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $262 | $262 | — | — | — | $262 – $262 |
| 10 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $262 | $262 | — | — | — | $262 – $262 |
| 11 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $272 | $272 | — | — | — | $272 – $272 |
| 12 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 13 | Molina misc medicaid mco percent of total billed charges · outpatientfrom % of charges | $384 | $384 | — | — | — | $384 – $384 |
| 14 | UnitedHealthcare uhc essential plan percent of total billed charges · outpatientfrom % of charges | $384 | $384 | — | — | — | $384 – $384 |
| 15 | UnitedHealthcare uhc medicaid percent of total billed charges · outpatientfrom % of charges | $384 | $384 | — | — | — | $384 – $384 |
Last updated: Aug 7, 2026
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