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 Duplex Ue Art/Bpg; Unil/Limit
Utica, NY
See all hospitals reporting CPT 93931 →Price type
MVHS, Inc.’s median price of $131 is 46% below the median hospital's median price ($241), higher than 25% of the 2,483 hospitals reporting CPT 93931. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 39 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 | Humana humana military percent of total billed charges · bothfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 2 | Tricare humana military percent of total billed charges · bothfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 3 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $48 | $48 | $33 | 68% | — | $15 – $81 |
| 4 | Humana choicecare fee schedule · both | $67 | $67 | $46 | 68% | — | $21 – $113 |
| 5 | Humana humana medicare advantage fee schedule · both | $67 | $67 | $46 | 68% | — | $21 – $113 |
| 6 | Medicare medicare fee schedule · both | $69 | $69 | $47 | 68% | — | $22 – $115 |
| 7 | WellCare wellcare fee schedule · both | $71 | $71 | $48 | 68% | — | $23 – $119 |
| 8 | Excellus excellus bcbs medicaid fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 9 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Molina misc medicaid mco fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 11 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 12 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 13 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 14 | Cigna mvp hmo/ppo fee schedule · both | $96 | $96 | $65 | 68% | — | $31 – $162 |
| 15 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $103 | $103 | $70 | 68% | — | $33 – $174 |
| 16 | Humana humana military fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 17 | Tricare humana military fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 18 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 19 | Humana humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 20 | Tricare humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 21 | Excellus excellus bcbs medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 22 | Humana humana medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 23 | Medicare medicare other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 24 | Optum vaccn optum other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 25 | UnitedHealthcare uhc medicare advantage other · outpatient | $132 | $132 | — | — | — | $132 – $132 |
Last updated: Aug 7, 2026
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