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 Psycl Tst Eval Phys/Qhp 1st
Utica, NY
See all hospitals reporting CPT 96130 →Price type
MVHS, Inc.’s median price of $287 is 3% above the median hospital's median price ($280), higher than 52% of the 1,464 hospitals reporting CPT 96130. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 12 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 percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 3 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $252 | $252 | — | — | — | $252 – $252 |
| 4 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 5 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 6 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 7 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 8 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 9 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 10 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 11 | Humana humana military other · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 12 | Tricare humana military other · outpatient | $350 | $350 | — | — | — | $350 – $350 |
Last updated: Aug 7, 2026
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