Capsule endoscopy imaging of the small intestine 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 GI Trc Img Intraluminal Esophagus-Ileum W/I&R

Utica, NY

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Pricing by billing methodology

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How this price compares nationally

MVHS, Inc.’s median price of $852 is 30% below the median hospital's median price ($1.2k), higher than 15% of the 1,955 hospitals reporting CPT 91110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91110 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 36 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 · inpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
2	Humana humana military percent of total billed charges · inpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
3	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
4	Humana choicecare fee schedule · both	$592	$483	$223	46%	—	$105 – $644
5	Humana humana medicare advantage fee schedule · both	$592	$483	$223	46%	—	$105 – $644
6	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$496	$496	$40	8%	—	$455 – $536
7	Aetna aetna medicare advantage fee schedule · both	$708	$574	$269	47%	—	$115 – $765
8	Medicare medicare fee schedule · both	$708	$574	$269	47%	—	$115 – $765
9	WellCare wellcare fee schedule · both	$729	$591	$277	47%	—	$118 – $788
10	Humana humana military fee schedule · both	$612	$612	—	—	—	$612 – $612
11	Tricare humana military fee schedule · both	$612	$612	—	—	—	$612 – $612
12	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$794	$648	$299	46%	—	$140 – $864
13	Cigna mvp hmo/ppo fee schedule · both	$882	$717	$334	47%	—	$148 – $956
14	Excellus excellus bcbs medicaid fee schedule · outpatient	$808	$808	—	—	—	$808 – $808
15	UnitedHealthcare uhc empire plan fee schedule · outpatient	$839	$839	—	—	—	$839 – $839
16	Humana humana military other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	Tricare humana military other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Excellus excellus bcbs medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Humana humana medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Medicare medicare other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Optum vaccn optum other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	UnitedHealthcare uhc medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Aetna aetna medicare advantage other · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	WellCare wellcare medicare advantage other · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Page 1 of 2 · 36 rates

Last updated: Aug 7, 2026

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