Hepatitis B vaccine, adult dose, intramuscular at MVHS, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Hepb Vacc 2/4 Dose Adult Im

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $178 is 18% below the median hospital's median price ($216), higher than 26% of the 1,604 hospitals reporting CPT 90739. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90739 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 33 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	Medicare medicare percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
2	UnitedHealthcare uhc empire plan fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
3	Excellus excellus bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
4	Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
5	UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
6	Aetna aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
7	WellCare wellcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
8	Humana humana military fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
9	Tricare humana military fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
10	Bcbs Ny excellus bcbs commercial fee schedule · both	$164	$164	—	—	1–10	$164 – $164
11	Blue Cross Blue Shield excellus bcbs commercial fee schedule · both	$164	$164	—	—	1–10	$164 – $164
12	Excellus excellus bcbs commercial fee schedule · both	$164	$164	—	—	17–62	$164 – $164
13	Humana choicecare fee schedule · both	$168	$168	—	—	—	$168 – $168
14	Humana humana medicare advantage fee schedule · both	$168	$168	—	—	—	$168 – $168
15	Humana humana military fee schedule · both	$168	$168	—	—	—	$168 – $168
16	Tricare humana military fee schedule · both	$168	$168	—	—	—	$168 – $168
17	Excellus excellus bcbs medicaid fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
18	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
19	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$214	$214	—	—	—	$214 – $214
20	Cigna mvp hmo/ppo fee schedule · both	$220	$220	—	—	1–10	$220 – $220
21	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
22	UnitedHealthcare uhc commercial fee schedule · outpatient	$264	$264	—	—	—	$264 – $264
23	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$359	$359	—	—	—	$359 – $359
24	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$392	$392	—	—	—	$392 – $392
25	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$411	$411	—	—	—	$411 – $411

Page 1 of 2 · 33 rates

Last updated: Aug 7, 2026

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