Critical care, first hour of physician time 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 Critical Care 30-74 Min

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $852 is 28% below the median hospital's median price ($1.2k), higher than 28% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 37 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	$90.65	$90.65	$90.65 – $90.65
2	Humana humana military percent of total billed charges · inpatientfrom % of charges	$155.40	$155.40	$155.40 – $155.40
3	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$155.40	$155.40	$155.40 – $155.40
4	WellCare wellcare fee schedule · outpatient	$169.70	$169.70	$169.70 – $169.70
5	Aetna aetna medicare advantage fee schedule · both	$192.84	$192.84	$192.84 – $192.84
6	WellCare wellcare fee schedule · both	$198.63	$198.63	$198.63 – $198.63
7	WellCare wellcare fee schedule · inpatient	$198.63	$198.63	$198.63 – $198.63
8	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$207.90	$207.90	$207.90 – $207.90
9	Humana choicecare fee schedule · both	$227.97	$227.97	$199.57 – $256.36
10	Humana humana medicare advantage fee schedule · both	$227.97	$227.97	$199.57 – $256.36
11	UnitedHealthcare uhc empire plan fee schedule · outpatient	$242.13	$242.13	$242.13 – $242.13
12	Humana humana military fee schedule · both	$243.53	$243.53	$243.53 – $243.53
13	Tricare humana military fee schedule · both	$243.53	$243.53	$243.53 – $243.53
14	Medicare medicare fee schedule · both	$245.04	$245.04	$192.84 – $297.23
15	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$296.13	$296.13	$259.00 – $333.26
16	Cigna mvp hmo/ppo fee schedule · both	$310.32	$310.32	$259.00 – $361.64
17	Bcbs Ny excellus bcbs indemnity case rate · both	$852.32	$852.32	$852.32 – $852.32
18	Blue Cross Blue Shield excellus bcbs hmo/ppo case rate · both	$852.32	$852.32	$852.32 – $852.32
19	Excellus excellus bcbs hmo/ppo case rate · both	$852.32	$852.32	$852.32 – $852.32
20	Excellus excellus bcbs indemnity case rate · both	$852.32	$852.32	$852.32 – $852.32
21	Humana humana military other · outpatient	$947.26	$947.26	$947.26 – $947.26
22	Tricare humana military other · outpatient	$947.26	$947.26	$947.26 – $947.26
23	Excellus excellus bcbs medicare advantage other · outpatient	$1,031	$1,031	$1,031 – $1,031
24	Humana humana medicare advantage other · outpatient	$1,031	$1,031	$1,031 – $1,031
25	Medicare medicare other · outpatient	$1,031	$1,031	$1,031 – $1,031

Page 1 of 2 · 37 rates

Last updated: Aug 7, 2026

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