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
Menactra Admin Medicaid
Utica, NY
See all hospitals reporting CPT 90734 →Price type
MVHS, Inc.’s median price of $86 is 62% below the median hospital's median price ($229), higher than 6% of the 1,912 hospitals reporting CPT 90734. 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, 13 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 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Humana humana military fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 4 | Tricare humana military fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 5 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 6 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 7 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 8 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 9 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 10 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 11 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 12 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 13 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $352 | $352 | — | — | — | $352 – $352 |
Last updated: Aug 7, 2026
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