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
Inactive Polio Admin Mcd
Utica, NY
See all hospitals reporting CPT 90713 →Price type
MVHS, Inc.’s median price of $30 is 60% below the median hospital's median price ($76), higher than 8% of the 1,770 hospitals reporting CPT 90713. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 4 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Humana humana military percent of total billed charges · bothfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Humana humana military percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 7 | Tricare humana military percent of total billed charges · bothfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Tricare humana military percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 9 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 10 | UnitedHealthcare uhc commercial percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 12 | Humana choicecare fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Humana humana medicare advantage fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 14 | Bcbs Ny excellus bcbs commercial fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 15 | Blue Cross Blue Shield excellus bcbs commercial fee schedule · both | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 16 | Excellus excellus bcbs commercial fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 17 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 18 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 19 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 20 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 21 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 22 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 23 | Molina misc medicaid mco percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 24 | UnitedHealthcare uhc essential plan percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 25 | UnitedHealthcare uhc medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
Last updated: Aug 7, 2026
See Inactivated polio vaccine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.