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 Interrog Dev Eval Icpms Phys/Qhp in Person
Utica, NY
See all hospitals reporting CPT 93290 →Price type
MVHS, Inc.’s median price of $51 is 3% above the median hospital's median price ($49), higher than 51% of the 1,488 hospitals reporting CPT 93290. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 22 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 | Excellus excellus bcbs medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Humana humana military other · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Tricare humana military other · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Excellus excellus bcbs medicare advantage other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Humana humana medicare advantage other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Medicare medicare other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Optum vaccn optum other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 9 | UnitedHealthcare uhc medicare advantage other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Aetna aetna medicare advantage other · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 11 | WellCare wellcare medicare advantage other · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 12 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 14 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 15 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 17 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 18 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 19 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 20 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 21 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 22 | Cigna mvp and cigna commercial other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
Last updated: Aug 7, 2026
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